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.

Salerno, S., Tudisca, C., Murmura, E., Matranga, D., La Tona, G., Lo Re, G., et al. (2017). Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents. LA RADIOLOGIA MEDICA, 122(5), 386-391 [10.1007/s11547-017-0732-z].

Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents

SALERNO, Sergio;TUDISCA, Chiara;MURMURA, Elena;MATRANGA, Domenica;LA TONA, Giuseppe;LO RE, Giuseppe;LO CASTO, Antonio
2017

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.
http://link.springer.com/journal/11547
Salerno, S., Tudisca, C., Murmura, E., Matranga, D., La Tona, G., Lo Re, G., et al. (2017). Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents. LA RADIOLOGIA MEDICA, 122(5), 386-391 [10.1007/s11547-017-0732-z].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/225629
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