Health Condition 1: P00-P04- Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery Health Condition 2: 8- Other Procedures
Conditions
Interventions
Intervention1: Estimation of insertion length of umbilical venous and arterial lines by novel weight-based formula developed by Yale university: The line will be inserted by the treating team taking i
Sponsors
Department of Pediatrics
Eligibility
Inclusion criteria
Inclusion criteria: All live babies born at age 250/7weeks to 416/7 who are admitted in NICU and require insertion of an umbilical venous arterial line for any indication
Exclusion criteria
Exclusion criteria: Neonates with chest wall or body malformation, hydrops, congenital anomalies distorting the anatomy of umbilical vein or arteries like congenital diaphragmatic hernia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Optimal positioning of UAC and UVC UAC: between the sixth and ninth thoracic vertebrae (T6–T9) by AP radiograph UVC: tip in Inferior vena cava (IVC) at the junction of IVC and right atrium by point of care ultrasound Image taken by PI and confirmed with Pediatric radiologist done when post-procedure x-ray and USG are obtainedTimepoint: Within 6 hours of insertion | — |
Secondary
| Measure | Time frame |
|---|---|
| Position of UVC on X-ray as compared to the ideal position defined from point of care ultrasound. Distance of UVC tip from ideal position (IVC- right atrium junction) from point of care ultrasound as compared to distance from diaphragm from AP x-ray.Timepoint: Within 6 hours of insertion;Regression equation using following anthropometric parameters for estimation of ideal length of insertion of UAC and UVC: umbilicus to xiphoid length, umbilicus to nipple length, umbilicus to pubic symphysis, umbilicus to sternal notch length, abdominal circumference, and umbilical to acromioclavicular joint distance PI will take the USG picture and AP radiograph and judge the ideal insertion length from the inserted length with the help of radiologist. Anthropometric parameters to be measured at the time of handling during cluster care in first 24 hours Timepoint: Within 6 hours of insertion | — |
Countries
India
Contacts
Public ContactUmang Bhardwaj
AIIMS, new Delhi
Outcome results
None listed