For a study, researchers sought to evaluate point-of-care ultrasonography (POCUS) guided catheter tip position in a newborn cohort following the insertion of percutaneously inserted central catheters (PICCs) from the upper region of the body. It was prospective, observational research on the position of PICC tips. Radiological markers or direct ultrasound (US) vision of the cardiovascular structures were used to determine the tip site.

In 102 neonates, one hundred eighteen PICCs (28Gauge/1French) were investigated (mean postmenstrual age 31 weeks, range 25-43 weeks; mean weight at positioning 1,365 g, range 420-4180 g). In our population, the feasibility of POCUS guided tip localization was 92.3%. Mechanical ventilation was substantially linked with failures (aOR 5.33; 95% CI 1.13-29.5; P=.038). In 88 of 109 instances, there was an agreement between US and radiography approaches (80.7%). About 15 of the 21 discordant instances resulted in a change in therapeutic care. POCUS-guided tiny bore localization PICC is a non-invasive and efficient alternative to traditional radiography. The latter should be indicated when the US examination fails to find the catheter tip.

Reference:www.jpeds.com/article/S0022-3476(21)01266-X/fulltext