To find out the utility of novel formula for length of insertion of Umbilical catheter as compared to older Dunn nomogram
Not Applicable
Completed
- Conditions
- Health Condition 1: P00-P04- Newborn affected by maternal factors and by complications of pregnancy, labor, and deliveryHealth Condition 2: 8- Other Procedures
- Registration Number
- CTRI/2022/01/039136
- Lead Sponsor
- Department of Pediatrics
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 101
Inclusion Criteria
All live babies born at age 250/7weeks to 416/7 who are admitted in NICU and require insertion of an umbilical venous arterial line for any indication
Exclusion Criteria
Neonates with chest wall or body malformation, hydrops, congenital anomalies distorting the anatomy of umbilical vein or arteries like congenital diaphragmatic hernia
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Optimal positioning of UAC and UVC <br/ ><br>UAC: between the sixth and ninth thoracic vertebrae (T6–T9) by AP radiograph <br/ ><br>UVC: tip in Inferior vena cava (IVC) at the junction of IVC and right atrium by point of care ultrasound Image taken by PI and confirmed with Pediatric radiologist done when post-procedure x-ray and USG are obtainedTimepoint: Within 6 hours of insertion
- Secondary Outcome Measures
Name Time Method Position of UVC on X-ray as compared to the ideal position defined from point of care ultrasound. Distance of UVC tip from ideal position (IVC- right atrium junction) from point of care ultrasound as compared to distance from diaphragm from AP x-ray.Timepoint: Within 6 hours of insertion;Regression equation using following anthropometric parameters for estimation of ideal length of insertion of UAC and UVC: umbilicus to xiphoid length, umbilicus to nipple length, umbilicus to pubic symphysis, umbilicus to sternal notch length, abdominal circumference, and umbilical to acromioclavicular joint distance <br/ ><br>PI will take the USG picture and AP radiograph and judge the ideal insertion length from the inserted length with the help of radiologist. <br/ ><br>Anthropometric parameters to be measured at the time of handling during cluster care in first 24 hours <br/ ><br>Timepoint: Within 6 hours of insertion