A novel and accurate method for estimating umbilical arterial and venous catheter insertion length.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
received:
16
02
2021
accepted:
25
05
2021
revised:
11
05
2021
pubmed:
10
6
2021
medline:
21
10
2021
entrez:
9
6
2021
Statut:
ppublish
Résumé
To develop a novel, rapid, and more accurate model for estimating umbilical arterial (UAC) and venous catheter (UVC) insertion length. We evaluated UACs and UVCs from a retrospective cohort to determine the rate of correct initial positioning based on conventional birth weight-based equations utilized in our neonatal intensive care unit. We then derived new equations, developed the mobile application, UmbiCalc, to simplify implementation of the new equations, and validated their accuracy with prospective utilization. The conventional equations successfully predicted insertion length in 69% (364 of 524) of UACs and only 36% (194 of 544) of UVCs. Our new model was prospectively applied to 68 UAC and 80 UVC placements with successful initial positioning achieved in 90% [95% CI, 80.2-94.9] and 76% [95% CI, 65.9-84.2], respectively. Our novel approach more accurately estimates UAC and UVC insertion length.
Identifiants
pubmed: 34103672
doi: 10.1038/s41372-021-01121-7
pii: 10.1038/s41372-021-01121-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1633-1637Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.
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