Key result
Intracavitary electrocardiogram guidance improved the success rate of correct PICC tip position on the first attempt compared to traditional surface landmark estimation (93.9% vs 62.5%; P<.001).
Why the study?
Does intracavitary electrocardiogram guidance improve the success rate of correct PICC tip position on the first attempt in neonates compared to traditional surface landmark estimation?
Population
Neonates requiring peripherally inserted central catheter (PICC) placement
Comparison
Intracavitary electrocardiogram guided PICC tip… vs Traditional, predetermined length estimation on…
Design
Cohort
Authors
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May support ratio-based IC-ECG for neonatal PICC placement; leaves open need for prospective validation before practice change.
Cohort
Does intracavitary electrocardiogram guidance improve the success rate of correct PICC tip position on the first attempt in neonates compared to traditional surface landmark estimation?
Absolute Event Rate: 93.9% vs 62.5%
p-value: p=<.001
IC-ECG guidance significantly improves the first-attempt success rate of correct PICC tip placement in neonates compared to traditional surface landmark estimation.
Zhou et al. (2017) conducted a cohort in Neonates requiring peripherally inserted central catheter (PICC). Intracavitary electrocardiogram (IC-ECG) guidance vs. Traditional predetermined length estimation on surface landmark was evaluated on Correct PICC tip position on the first attempt (p=<.001). Intracavitary electrocardiogram guidance improved the success rate of correct PICC tip position on the first attempt compared to traditional surface landmark estimation (93.9% vs 62.5%; P<.001).
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