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ANTONIO LO CASTO

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

  • Autori: Salerno, S.; Tudisca, C.; Murmura, E.; Matranga, D.; LA TONA, G.; LO RE, G.; LO CASTO, A.
  • Anno di pubblicazione: 2017
  • Tipologia: Articolo in rivista (Articolo in rivista)
  • Parole Chiave: Flow-chart; Frontal radiogram; Radiology resident; Umbilical venous catheter; Abdomen; Catheterization, Central Venous; Humans; Radiography; Radiology; Internship and Residency; Software Design; Umbilical Veins; Radiology, Nuclear Medicine and Imaging

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.

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