Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter?
diameter
measurements
newborn
ultrasound
umbilical catheters
vena cava
Journal
Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492
Informations de publication
Date de publication:
2023
2023
Historique:
received:
28
07
2023
accepted:
12
10
2023
medline:
4
12
2023
pubmed:
4
12
2023
entrez:
4
12
2023
Statut:
epublish
Résumé
The primary outcomes of this study were to evaluate the diameters of the inferior vena cava (IVC) in a cohort of newborns and the correlation between newborn weight and IVC diameter. The secondary outcome was to evaluate the concordance between the measurements performed by the two investigators. Two blind examiners performed an ultrasonographic (US) evaluation of the IVC diameter in neonates with a weight ranging from 2 to 4 kg. The exclusion criteria included hemodynamic instability, known vascular malformations, and major congenital malformations. A total of 143 neonates were enrolled between June 2019 and January 2021. All the US examinations were performed in the first 3 days of life. After dividing the patients into two groups according to their weight at the time of examination (2.0-2.99 kg and 3.0-4.0 kg), the median IVC diameters measured by examiner 1 were 3.1 mm (interquartile range 2.8-3.4) and 3.4 mm (interquartile range 2.9-3.8) ( The IVC diameter values varied widely from 1.2 to 5.2 mm in newborns weighing 2-4 kg, and a low correlation between newborn weight and IVC diameter was found, so measuring IVC diameter may be a recommended step prior to inserting a umbilical venous catheter (UVC). The concordance between operators was good. We contemplated that the IVC diameter could be a potentially useful tool to identify the most appropriate UVC, thus reducing the risk of catheter-related thrombosis.
Identifiants
pubmed: 38046676
doi: 10.3389/fped.2023.1268622
pmc: PMC10690934
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1268622Informations de copyright
© 2023 Galdo, Trappan, Cossovel, Rodriguez-Perez, Ronfani, Montaldo, Bibalo, Travan and Risso.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Pediatr. 2002 Jan;140(1):131-4
pubmed: 11815778
J Vasc Interv Radiol. 2000 Jul-Aug;11(7):837-40
pubmed: 10928518
J Paediatr Child Health. 2020 Mar;56(3):439-443
pubmed: 31654594
Ital J Pediatr. 2021 Mar 18;47(1):68
pubmed: 33736669
J Ultrasound Med. 2020 Feb;39(2):379-383
pubmed: 31400014
Arch Dis Child Educ Pract Ed. 2019 Apr;104(2):88-96
pubmed: 30104325
Front Pediatr. 2022 Jan 31;9:774705
pubmed: 35174113
J Ultrason. 2016 Jun;16(65):125-34
pubmed: 27446597
J Perinatol. 2020 Apr;40(4):560-566
pubmed: 31758061
Pediatr Crit Care Med. 2022 May 1;23(5):e257-e266
pubmed: 35250003
Intensive Care Med. 2012 Jul;38(7):1105-17
pubmed: 22614241
Arch Dis Child Fetal Neonatal Ed. 2020 May;105(3):299-303
pubmed: 31391204
Arch Dis Child Fetal Neonatal Ed. 2017 May;102(3):F251-F255
pubmed: 28424358
J Am Soc Echocardiogr. 2015 Jan;28(1):1-39.e14
pubmed: 25559473
J Vasc Access. 2015 Mar-Apr;16(2):130-6
pubmed: 25362978
Chest. 2011 Jul;140(1):48-53
pubmed: 21349931
Pediatr Radiol. 2018 Dec;48(13):1964-1970
pubmed: 30078110
Chest. 2010 Oct;138(4):803-10
pubmed: 20923799
J Pediatr (Rio J). 2017 Mar - Apr;93(2):172-178
pubmed: 27424226
J Infus Nurs. 2021 Jan-Feb 01;44(1S Suppl 1):S1-S224
pubmed: 33394637
AJR Am J Roentgenol. 2003 Apr;180(4):1147-53
pubmed: 12646473
J Vasc Access. 2022 Sep;23(5):679-688
pubmed: 33818191
Indian J Pediatr. 2017 Oct;84(10):751-756
pubmed: 28634780
J Ultrasound Med. 2018 Jan;37(1):181-189
pubmed: 28708286
J Perinatol. 2011 May;31(5):344-9
pubmed: 21311495
J Perinatol. 2003 Jan;23(1):24-8
pubmed: 12556923