Health Condition 1: P299- Cardiovascular disorder originating in the perinatal period, unspecified Health Condition 2: P22- Respiratory distress of newborn Health Condition 3: P229- Respiratory distress of newborn, unspecified
Conditions
Interventions
Intervention1: USG guided UVC insertion: Ultrasound (USG) will be used to guide umbilical venous catheter (UVC) insertion in enrolled neonates and ensure the optimal position of the catheter tip. USG
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: All neonates born between 28 and 41 weeks of gestation AND requiring insertion of the umbilical venous catheter for any reason, including: 1. Institution of parenteral nutrition 2. Vasopressor support or 3. Institution of high osmolar glucose infusion for hypoglycemia
Exclusion criteria
Exclusion criteria: 1. Chest wall malformations 2. Hydrops 3. Congenital anomalies distorting the anatomy of the umbilical vein, like congenital diaphragmatic hernia 4. Refusal to provide consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of neonates with optimal tip position (within 0.5 cmâ??proximal or distal â??of the junction of the inferior vena cava and right atrium)Timepoint: Twice: first at the end of USG-guided UVC placement and the second at 15-30 minutes after the procedure is completed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility of inserting and optimally positioning the UVC by USG-guided based real-time assessment of the catheter tipTimepoint: once, at the end of procedure;Potential time saved by using USG to confirm the tip position (vis-Ã -vis using the conventional method of confirming it by X-rays).Timepoint: Once at the end of procedure;Proportion of neonates among those with an aberrant course of UVC (malpositioned in the liver) in whom the UVC can be successfully manipulated to reach the optimal position using the said maneuver.Timepoint: Twice; first, when the catheter is found to have an aberrant course and second, post procedure USG check the catheter tip position | — |
Countries
India
Contacts
Public ContactManisha Komal
AIIMS New Delhi
Outcome results
None listed