Evidence · Systematic review or meta-analysis
Diagnostic accuracy of ultrasound for localising peripherally inserted central catheter tips in infants in the neonatal intensive care unit: a systematic review and meta-analysis.
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Summary
This systematic review and meta-analysis assessed the diagnostic accuracy of ultrasound compared with chest radiography for confirming peripherally inserted central catheter (PICC) tip position in infants in the neonatal intensive care unit. Eight studies were included, and ultrasound showed high sensitivity with more modest specificity. The authors conclude ultrasound is a sensitive and timely modality for PICC tip confirmation, with radiography recommended when ultrasound cannot locate a malpositioned tip. Relevant to clinicians and nurses inserting and managing neonatal central lines.
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