Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents.
Radiol Med
; 122(5): 386-391, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-28188602
ABSTRACT
BACKGROUND:
Umbilical Venous Catheter (UVC) are commonly used in neonatal period; they can be not correctly positioned and could be associated with complications. The purpose of this article is to suggest a flow-chart to evaluate the placement of UVC, testing it in young radiologists-in-training.METHOD:
We developed a simple flow-chart to asses, steps by step, UVC placement considering its course and tip location (ideally placed in the atriocaval junction). We tested the flow-chart impact asking to 20 residents to evaluate the placement of 10 UVC before and after they familiarized with the flow-chart and the anatomical findings of a newborn. The agreement among the 20 students was evaluated too.RESULTS:
The number of correct characterizations was different due to the administration of the flow-chart. One hundred and six correct UVC assessments at the beginning switched to 196 after the administration of the flow-chart (p = 0.0001). The observed agreement among the twenty radiology residents was statistically significant, both before (kappa = 0.41, p < 0.001) and after (kappa = 0.37, p < 0.001) the flow-chart administration.CONCLUSION:
The developed flow-chart demonstrated to be useful in increasing residents performance in UVC placement assessment.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Radiologia
/
Veias Umbilicais
/
Design de Software
/
Cateterismo Venoso Central
/
Internato e Residência
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Radiol Med
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Itália