Ultrasound-Guided Cannulation of the Great Saphenous Vein in Neonates: A Randomized Study

• Published in: American journal of perinatology Vol. 40; no. 11; p. 1217
• Main Authors: Tu, Zhenzhen, Tan, Yanzhe, Liu, Lifei, Xie, Jia, Xu, Ying, Liu, Wei
• Format: Journal Article
• Language: English
• Published: United States 01.08.2023
• Subjects: Catheterization, Central Venous - adverse effects; Catheterization, Peripheral - adverse effects; Catheterization, Peripheral - methods; Humans; Infant, Newborn; Prospective Studies; Saphenous Vein - diagnostic imaging; Saphenous Vein - surgery; Ultrasonography; Ultrasonography, Interventional - methods
• ISSN: 1098-8785
• DOI: 10.1055/s-0041-1733958

This prospective randomized controlled study aimed to compare the ultrasound-guided (USG) technique with the standard single-wall puncture technique for epicutaneo-caval catheter (ECC) placement in neonates. A total of 100 neonates were included in this study. All enrolled neonates were randomly divided into two groups (  = 50): the USG group and the control group. The control group underwent standard single-wall puncture for ECC placement procedures, and the USG group underwent USG ECC placement procedures. The first attempt success rates (62 vs. 38%;  = 0.016) and the total success rates (92 vs. 74%;  = 0.017) were higher in the USG group than in the control group. The procedure time was shorter in the USG group than in the control group: 351.43 (112.95) versus 739.78 seconds (369.13),  < 0.001. The incidence of adverse events was not significantly different between the two groups. Compared with the standard single-wall puncture method, USG cannulation is superior for neonatal ECC placement, with a higher success rate, and decreases the total procedural time. · Establishing ECCs in neonates is challenging and lead to multiple attempts and adverse events.. · Information on the efficiency of USG dynamic needle tip positioning for ECCs in neonates is lacking.. · Compared with the standard puncture method, USG cannulation is superior for neonatal ECC placement..