Related Experiment Video

Updated: Jan 1, 2026

Implantation of Electroencephalogram and Electrocardiogram Telemetry Devices in Neonatal Rabbit Kits
06:46

Implantation of Electroencephalogram and Electrocardiogram Telemetry Devices in Neonatal Rabbit Kits

Published on: February 28, 2025

698

Intracavitary electrocardiogram guidance for placement of peripherally inserted central catheters in premature

Lijuan Yang1, Xu Bing1, Luo Song2

  • 1Department of Pediatrics, the First Affiliated Hospital of Bengbu Medical College, Bengbu.

Medicine
|December 20, 2019
PubMed

Insights

Intracavitary electrocardiogram (IC-ECG) guidance accurately places peripherally inserted central catheters (PICCs) in premature infants. This radiation-free method offers an economical alternative to chest X-rays for confirming correct PICC tip placement.

Area of Science:

  • Neonatal Medicine
  • Medical Devices
  • Diagnostic Imaging

Background:

  • Accurate placement of peripherally inserted central catheters (PICCs) is crucial for premature infants.
  • Chest X-rays are the standard for confirming PICC tip location but involve radiation exposure.

Purpose of the Study:

  • To evaluate the accuracy of intracavitary electrocardiogram (IC-ECG) guidance for PICC placement in premature infants.
  • To compare the efficacy of IC-ECG with chest X-ray for determining correct PICC tip position.

Main Methods:

  • A prospective study involving 173 premature infants undergoing PICC placement.
  • Intracavitary electrocardiogram (IC-ECG) monitoring was used, analyzing P wave changes to indicate catheter tip position.
  • Results were compared against chest X-ray confirmation of PICC tip location.

Main Results:

  • IC-ECG guidance demonstrated 90.17% accuracy in PICC placement.
  • Chest X-ray confirmed correct catheter tip placement in 85.55% of infants identified by IC-ECG.
  • P wave changes on IC-ECG correlated statistically with chest X-ray findings, indicating reliable tip localization.

Conclusions:

  • Intracavitary electrocardiogram (IC-ECG) guidance is an accurate and reliable method for placing PICCs in premature infants.
  • IC-ECG offers a radiation-free and economical alternative to chest X-rays for PICC tip confirmation.
  • This technique enhances safety and efficiency in neonatal intensive care units.

More Related Videos

Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates05:58

Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates

Published on: September 6, 2017

40.3K
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire07:47

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

Published on: December 23, 2014

19.9K

Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
646
Electrocardiogram Fundamentals01:28

Electrocardiogram Fundamentals

Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
1.3K
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
569
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
503
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
904