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- W2024285479 abstract "Purpose The purpose of this study is to analyse literature related to the position of centrally inserted central venous catheters and to review topics related to assessment of tip position of those catheters in children. Applications of specific techniques to PICCs (Periferally Inserted Central Catheters) and umbilical venous catheter will also be reviewed. Methods Analysis of 68 original manuscripts, 42 specifically related to the paediatric population, 26 related to the adult population. The papers analysed were published between 1949 and 2014; all articles were in English except one in Italian and one in German. Results From the analysed literature, most of the guidelines recommend tip positioning at a level between the superior vena cava and the right atrium. Several methods have been described to evaluate tip position in the paediatric population, but none of those is considered completely reliable. The standard methods used to identify catheter tip position are radiography and fluoroscopy, but no specific landmark can be recommended in the paediatric population. The ultrasonographic approach has been investigated mainly for PICCs positioning in the neonatal population. The electrocardiographic method has been evaluated in the general paediatric population. Conclusions No specific recommendation can be given due to the low level of evidence. Ultrasound and ECG (electrocardiogram) techniques are a potential alternative to chest X-ray and further studies should be implemented to establish them. A wider application of these techniques may reduce neonatal and paediatric exposure to radiations and additionally reduce costs." @default.
- W2024285479 created "2016-06-24" @default.
- W2024285479 creator A5008023940 @default.
- W2024285479 creator A5058421121 @default.
- W2024285479 date "2014-02-09" @default.
- W2024285479 modified "2023-10-16" @default.
- W2024285479 title "Defining Central venous Line Position in Children: Tips for the Tip" @default.
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- W2024285479 doi "https://doi.org/10.5301/jva.5000285" @default.
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