Centrally inserted central catheters in preterm neonates with weight below 1500 g by ultrasound-guided access to the brachio-cephalic vein

Giovanni Barone, Mauro Pittiruti, Gina Ancora, Giovanni Vento, Francesca Tota, Vito D’Andrea

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such a technique in preterm babies. Design: Retrospective analysis of prospectively collected data on ultrasound-guided central venous catheter insertion in preterm neonates. Setting: Neonatal intensive care unit. Patients: Critically ill preterm neonates with weight below 1500 g requiring a central access. Interventions: Ultrasound-guided brachio-cephalic vein catheterization. Main Results: Thirty centrally inserted catheters were placed in 30 neonates. The success rate of the procedure was 100%. No case of accidental arterial or pleural puncture was registered during the study period. Conclusion: The brachio-cephalic vein can be safely catheterized in preterm newborns requiring intensive care after appropriate training.

Original languageEnglish
JournalJournal of Vascular Access
DOIs
Publication statusAccepted/In press - 2020

Keywords

  • central access
  • central venous catheterization
  • critical ill newborn
  • neonatal intensive care
  • Newborn
  • ultrasound guidance

ASJC Scopus subject areas

  • Surgery
  • Nephrology

Fingerprint Dive into the research topics of 'Centrally inserted central catheters in preterm neonates with weight below 1500 g by ultrasound-guided access to the brachio-cephalic vein'. Together they form a unique fingerprint.

Cite this