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

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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.
Lingua originaleEnglish
pagine (da-a)386-391
Numero di pagine6
RivistaDefault journal
Volume122
Stato di pubblicazionePublished - 2017

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Umbilicus
Radiology
Catheters
Equidae
Newborn Infant
Students

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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title = "Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents",
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.",
keywords = "Central Venous; Humans; Radiography; Radiology; Internship and Residency; Software Design; Umbilical Veins; Radiology, Flow-chart; Frontal radiogram; Radiology resident; Umbilical venous catheter; Abdomen; Catheterization, Nuclear Medicine and Imaging",
author = "Chiara Tudisca and Sergio Salerno and {Lo Casto}, Antonio and {La Tona}, Giuseppe and Domenica Matranga and Elena Murmura and {Lo Re}, Giuseppe",
year = "2017",
language = "English",
volume = "122",
pages = "386--391",
journal = "Default journal",

}

TY - JOUR

T1 - Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents

AU - Tudisca, Chiara

AU - Salerno, Sergio

AU - Lo Casto, Antonio

AU - La Tona, Giuseppe

AU - Matranga, Domenica

AU - Murmura, Elena

AU - Lo Re, Giuseppe

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - Central Venous; Humans; Radiography; Radiology; Internship and Residency; Software Design; Umbilical Veins; Radiology

KW - Flow-chart; Frontal radiogram; Radiology resident; Umbilical venous catheter; Abdomen; Catheterization

KW - Nuclear Medicine and Imaging

UR - http://hdl.handle.net/10447/225629

UR - http://link.springer.com/journal/11547

M3 - Article

VL - 122

SP - 386

EP - 391

JO - Default journal

JF - Default journal

ER -