Abstract
Point-of-care ultrasound (POCUS) has become a novel tool for assessing umbilical catheter tip location in the neonate. This review analyzes the current evidence on the efficacy and utility of POCUS for identifying umbilical catheter positioning. Medline, EMBASE, and Cochrane searches were performed until October 2018. Eight studies were identified comparing POCUS to x-ray in assessing umbilical catheter tip location in the last 10 years. POCUS was shown to be feasible and appears to be a superior imagining modality to x-rays in assessing umbilical line tip location. POCUS is more accurate in determining umbilical catheter positioning, allows for more rapid line umbilical catheter placement, and reduces the time to treatment as well as radiation exposure to the neonate when compared with x-ray. The available studies support further education in training neonatal providers to become proficient in POCUS for assessing umbilical lines.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Franta J, Harabor A, Soraisham AS. Ultrasound assessment of umbilical venous catheter migration in preterm infants: a prospective study. Arch Dis Child Fetal Neonatal Ed. 2017;102:F251.
Hagerott HE, Kulkarni S, Restrepo R, Reeves-Garcia J. Clinical-radiologic features and treatment of hepatic lesions caused by inadvertent infusion of parenteral nutrition in liver parenchyma due to malposition of umbilical vein catheters. Pediatr Radio. 2014;44:810–5.
Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed. 2003;88:F260.
Mutlu M, Aslan Y, Kul S, Yilmaz G. Umbilical venous catheter complications in newborns: a 6-year single-center experience. J Matern Fetal Neonatal Med. 2016;29:2817–22.
Dunn PM. Localization of the umbilical catheter by post-mortem measurement. Arch Dis Child. 1966;41:69–75.
Shukla H, Ferrara A. Rapid estimation of insertional length of umbilical catheters in newborns. Am J Dis Child. 1986;140:786–8.
Guimarães AF, Souza AA, Bouzada MC, Meira ZM. Accuracy of chest radiography for positioning of the umbilical venous catheter. J Pediatr (Rio J). 2017;93:172–8.
Fleming SE, Kim JH. Ultrasound-guided umbilical catheter insertion in neonates. J Perinatol. 2011;31:344.
Puch-Kapst K, Juran R, Stoever B, Wauer RR. Radiation exposure in 212 very low and extremely low birth weight infants. Pediatrics. 2009;124:1556–64.
George L, Waldman JD, Cohen ML, Segall ML, Kirkpatrick SE, Turner SW, et al. Umbilical vascular catheters: Localization by two-dimensional echocardio/aortography. Pediatr Cardiol. 1982;2:237–43.
Madar RJ, Deshpande SA. Reappraisal of ultrasound imaging of neonatal intravascular catheters. Arch Dis Child Fetal Neonatal Ed. 1996;75:F62.
Saul D, Ajayi S, Schutzman DL, Horrow MM. Sonography for complete evaluation of neonatal intensive care unit central support devices. J Ultrasound Med. 2016;35:1465–73.
Simanovsky N, Ofek-Shlomai N, Rozovsky K, Ergaz-Shaltiel Z, Hiller N, Bar-Oz B. Umbilical venous catheter position: evaluation by ultrasound. Eur Radio. 2011;21:1882–6.
Michel F, Brevaut-Malaty V, Pasquali R, Thomachot L, Vialet R, Hassid S, et al. Comparison of ultrasound and X-ray in determining the position of umbilical venous catheters. Resuscitation. 2012;83:705–9.
Hoellering AB, Koorts PJ, Cartwright DW, Davies MW. Determination of umbilical venous catheter tip position with radiograph. Pediatr Crit Care Med. 2014;15:56–61.
Harabor A, Soraisham A. Rates of intracardiac umbilical venous catheter placement in neonates. J Ultrasound Med. 2014;33:1557–61.
Nguyen J. Ultrasonography for central catheter placement in the neonatal intensive care unit-a review of utility and practicality. Am J Perinatol. 2016;33:525–30.
Castrodale V, Rinehart S. The golden hour: improving the stabilization of the very low birth-weight infant. Adv Neonatal Care. 2014;14:9–14. quiz 5-6
Scott MV, Fujii AM, Behrman RH, Dillon JE. Diagnostic ionizing radiation exposure in premature patients. J Perinatol. 2014;34:392.
Donadieu J, Zeghnoun A, Roudier C, Maccia C, Pirard P, Andre C, et al. Cumulative effective doses delivered by radiographs to preterm infants in a neonatal intensive care unit. Pediatrics. 2006;117:882–8.
Kluckow M, Evans N. Point of care ultrasound in the NICU—training, accreditation and ownership. Eur J Pediatr. 2016;175:289–90.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Meinen, R.D., Bauer, A.S., Devous, K. et al. Point-of-care ultrasound use in umbilical line placement: a review. J Perinatol 40, 560–566 (2020). https://doi.org/10.1038/s41372-019-0558-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41372-019-0558-8
This article is cited by
-
New insights in pediatrics in 2021: choices in allergy and immunology, critical care, endocrinology, gastroenterology, genetics, haematology, infectious diseases, neonatology, neurology, nutrition, palliative care, respiratory tract illnesses and telemedicine
Italian Journal of Pediatrics (2022)
-
Point-of-care ultrasound for neonatal central catheter positioning: impact on X-rays and line tip position accuracy
European Journal of Pediatrics (2022)
-
Implementing point of care ultrasound in the neonatal intensive care unit: a safety study
Journal of Perinatology (2021)
-
Fingertip ultrasound evaluation of umbilical catheter position in the neonatal intensive care unit compared to conventional ultrasound radiography: a preliminary investigation
Journal of Perinatology (2021)