Variation in identifying neonatal percutaneous central venous line position

Journal of Paediatrics and Child Health
D E OddC A Kuschel

Abstract

The study objective was to obtain data on interpretation, including intra and interobserver variation and action taken for a given line tip location, for a series of radiographs demonstrating neonatal long lines. Nineteen radiographs taken to identify line tip position were digitized and published on an internet site. One film was included twice in order to assess intraobserver variation giving a total of 20 images. Fourteen used radio-opaque contrast and five no contrast. Australian and New Zealand Neonatal Network members and National Women's Hospital NICU staff were invited to participate in the study. For each radiograph, participants were asked to identify if long line tip could be identified, the likely anatomical position and desired action. Interobserver agreement was assessed by the maximum proportion of agreement per radiograph and by the number of different options selected. Intraobserver agreement was assessed by comparing the two reports from the duplicate radiograph. Twenty-seven responses were received. Overall, 50% of the reports stated that the long line tips could be identified. The most commonly reported position was in the right atrium (31%) and most commonly reported action was to pull the line back (53%). ...Continue Reading

References

May 5, 2000·Archives of Disease in Childhood. Fetal and Neonatal Edition·P MadhaviM J Robinson
Feb 13, 2001·Archives of Disease in Childhood·C D van KarnebeekM Offringa
Mar 12, 2002·Journal of Paediatrics and Child Health·M BattinD Knight
Aug 24, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·P Nolent
Feb 25, 2003·Archives of Disease in Childhood·R Shaoul, A Toubi
Jun 24, 2003·Archives of Disease in Childhood. Fetal and Neonatal Edition·K BeardsallA W R Kelsall
Jan 9, 2004·Archives of Disease in Childhood. Fetal and Neonatal Edition·D E OddJ E Harding

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Citations

Jun 19, 2008·Journal of Paediatrics and Child Health·Carl A KuschelMalcolm R Battin
Aug 12, 2008·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A BouissouS Dalmas
Jul 13, 2016·The British Journal of Radiology·Tze Y ChanRichard G McWilliams
Jan 30, 2014·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Desi M NewberryDebra Brandon
Apr 14, 2010·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Desi M Wolfe

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