A randomized controlled trial of umbilical venous catheterization in neonates: comparison between the revised method and the method of Shukla and Ferrara
Keywords:
newborn, umbilical venous catheter, umbilical venous catheter position, Shukla and Ferrara methodAbstract
Objective: To compare rate of appropriate umbilical venous catheter insertion estimated by revised method and Shukla and Ferrara method
Method: A randomized controlled study in neonates whom admitted to the neonatal intensive care unit in Nakornping hospital and received umbilical venous catheterization. Data was collected and analyzed to compare rate of appropriate umbilical venous catheter insertion between revised method and Shukla and Ferrara method. The appropriate position of umbilical venous catheter identified by antero-posterior chest and abdominal radiographs refers to the position of umbilical venous catheter tip placed between upper border level of the 9th thoracic spine and lower border level of the 10th thoracic spine.
Result: One hundred and eighty-two neonates were enrolled to the study. They were allocated into group by stratified block randomization. There were 92 neonates of revised method group and 90 neonates of Shukla and Ferrara method group. Rate of appropriate umbilical venous catheter insertion was significantly higher in 29 neonates (31.52%) of revised method group than in 16 neonates (17.78%) of Shukla and Ferrara method group (p-value=0.039). Intrahepatic venous catheter insertion was defined as complication in this study. It was observed among 17 neonates (18.48%) of revised method group and 18 neonates (20%) of Shukla and Ferrara group.
Conclusion: Umbilical venous catheter insertion with revised method increased rate of proper umbilical venous catheter insertion in position compared to Shukla and Ferrara method
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