Optimal line and tube placement in very preterm neonates: an audit of practice

Show simple item record

dc.contributor.author Finn, Daragh
dc.contributor.author Kinoshita, Hannah
dc.contributor.author Livingstone, Vicki
dc.contributor.author Dempsey, Eugene M.
dc.date.accessioned 2018-02-06T13:36:27Z
dc.date.available 2018-02-06T13:36:27Z
dc.date.issued 2017
dc.identifier.citation Finn, D., Kinoshita, H., Livingstone, V. and Dempsey, E. (2017) 'Optimal line and tube placement in very preterm neonates: an audit of practice', Children, 4(11), 99 (8pp). doi: 10.3390/children4110099 en
dc.identifier.volume 4
dc.identifier.issued 11
dc.identifier.startpage 1
dc.identifier.endpage 8
dc.identifier.uri http://hdl.handle.net/10468/5381
dc.identifier.doi 10.3390/children4110099
dc.description.abstract Background: Placement of endotracheal tubes (ETTs) and umbilical catheters (UCs) is essential in very preterm infant care. The aim of this study was to assess the effect of an educational initiative to optimize correct placement of ETTs and UCs in very preterm infants. Methods: A pre–post study design, evaluating optimal radiological position of ETTs and UCs in the first 72 h of life in infants <32 weeks gestational age (GA) was performed. Baseline data was obtained from a preceding 34-month period. The study intervention consisted of information from the pre-intervention audit, surface anatomy images of the newborn for optimal UC positioning, and weight-based calculations to estimate insertion depths for endotracheal intubation. A prospective evaluation of radiological placement of ETTs and UCs was then conducted over a 12-month period. Results: During the study period, 211 infants had at least one of the three procedures performed. One hundred and fifty-seven infants were included in the pre-education group, and 54 in the post-education group. All three procedures were performed in 50.3% (79/157) in the pre-education group, and 55.6% (30/54) in the post-education group. There was no significant difference in accurate placement following the introduction of the educational sessions; depth of ETTs (50% vs. 47%), umbilical arterial catheter (UAC) (40% vs. 43%,), and umbilical venous catheter (UVC)(14% vs. 23%). Conclusion: Despite education of staff on methods for appropriate ETT, UVC and UAC insertion length, the rate of accurate initial insertion depth remained suboptimal. Newer methods of determining optimal position need to be evaluated. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher MDPI AG en
dc.relation.uri http://www.mdpi.com/2227-9067/4/11/99
dc.rights © 2017, the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject Neonatal en
dc.subject Preterm infant en
dc.subject Newborn intubation en
dc.subject Umbilical venous catheter en
dc.subject Umbilical arterial catheter en
dc.title Optimal line and tube placement in very preterm neonates: an audit of practice en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother G.Dempsey@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.internal.wokid WOS:000416603800007
dc.contributor.funder Science Foundation Ireland
dc.description.status Peer reviewed en
dc.identifier.journaltitle Children en
dc.internal.IRISemailaddress Eugene Dempsey, Paediatrics & Child Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: g.dempsey@ucc.ie en
dc.identifier.articleid 99
dc.relation.project info:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2272s/IE/Irish Centre for Fetal and Neonatal Translational Research (INFANT) - EU Grant Manager/


Files in this item

This item appears in the following Collection(s)

Show simple item record

© 2017, the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Except where otherwise noted, this item's license is described as © 2017, the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement