Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length
This study compares the methods of Dunn and Shukla in determining the appropriate insertion length of umbilical catheters. In July 2007, we changed our policy for umbilical catheter insertions from the method of Dunn to the method of Shukla. We report our percentage of inaccurate placement of umbili...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2010/873167 |
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| author | Gerdina H. Verheij Arjan B. te Pas Ruben S. G. M. Witlox Vivianne E. H. J. Smits-Wintjens Frans J. Walther Enrico Lopriore |
| author_facet | Gerdina H. Verheij Arjan B. te Pas Ruben S. G. M. Witlox Vivianne E. H. J. Smits-Wintjens Frans J. Walther Enrico Lopriore |
| author_sort | Gerdina H. Verheij |
| collection | DOAJ |
| description | This study compares the methods of Dunn and Shukla in determining the appropriate insertion length of umbilical catheters. In July 2007, we changed our policy for umbilical catheter insertions from the method of Dunn to the method of Shukla. We report our percentage of inaccurate placement of umbilical-vein catheters (UVCs) and umbilical-artery catheters (UACs) before and after the change of policy. In the Dunn-group, 41% (28/69) of UVCs were placed directly in the correct position against 24% (20/84) in the Shukla-group. The position of the catheter-tip of UVCs in the Dunn-group and the Shukla-group was too high in 57% (39/69) and 75% (63/84) of neonates, respectively. UACs in the Dunn-group were placed directly in the correct position in 63% (24/38) compared to the 87% (39/45) of cases in Shukla-group. The position of the catheter-tip of UACs in the Dunn-group and the Shukla-group was too high in 34% (13/38) and 13% (6/45) of neonates, respectively.
In conclusion, the Dunn-method is more accurate than the Shukla-method in predicting the insertion length for UVCs, whereas the Shukla-method is more accurate for UACs. |
| format | Article |
| id | doaj-art-c8a2a72ced294817b0484c343e6a00b3 |
| institution | DOAJ |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-c8a2a72ced294817b0484c343e6a00b32025-08-20T03:05:10ZengWileyInternational Journal of Pediatrics1687-97401687-97592010-01-01201010.1155/2010/873167873167Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion LengthGerdina H. Verheij0Arjan B. te Pas1Ruben S. G. M. Witlox2Vivianne E. H. J. Smits-Wintjens3Frans J. Walther4Enrico Lopriore5Division of Neonatology, Department of Paediatrics, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The NetherlandsDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The NetherlandsDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The NetherlandsDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The NetherlandsDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The NetherlandsDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The NetherlandsThis study compares the methods of Dunn and Shukla in determining the appropriate insertion length of umbilical catheters. In July 2007, we changed our policy for umbilical catheter insertions from the method of Dunn to the method of Shukla. We report our percentage of inaccurate placement of umbilical-vein catheters (UVCs) and umbilical-artery catheters (UACs) before and after the change of policy. In the Dunn-group, 41% (28/69) of UVCs were placed directly in the correct position against 24% (20/84) in the Shukla-group. The position of the catheter-tip of UVCs in the Dunn-group and the Shukla-group was too high in 57% (39/69) and 75% (63/84) of neonates, respectively. UACs in the Dunn-group were placed directly in the correct position in 63% (24/38) compared to the 87% (39/45) of cases in Shukla-group. The position of the catheter-tip of UACs in the Dunn-group and the Shukla-group was too high in 34% (13/38) and 13% (6/45) of neonates, respectively. In conclusion, the Dunn-method is more accurate than the Shukla-method in predicting the insertion length for UVCs, whereas the Shukla-method is more accurate for UACs.http://dx.doi.org/10.1155/2010/873167 |
| spellingShingle | Gerdina H. Verheij Arjan B. te Pas Ruben S. G. M. Witlox Vivianne E. H. J. Smits-Wintjens Frans J. Walther Enrico Lopriore Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length International Journal of Pediatrics |
| title | Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length |
| title_full | Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length |
| title_fullStr | Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length |
| title_full_unstemmed | Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length |
| title_short | Poor Accuracy of Methods Currently Used to Determine Umbilical Catheter Insertion Length |
| title_sort | poor accuracy of methods currently used to determine umbilical catheter insertion length |
| url | http://dx.doi.org/10.1155/2010/873167 |
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