Valuation of Radiation in Pedriatrics Catheters: Location and Complications.

Congress:

ECR 2018

Poster Number:

C-1462

Type:

Educational Exhibit

Keywords:

Education and training, Catheters, Conventional radiography, Catheter venography, Catheter arteriography, Vascular, Paediatric

Authors:

S. L. Barrero Varon¹, E. R. Amador González², M. Rodríguez Eiriz², R. Grau Sola²; ¹Palma. Mallorca. Illes Balears/ES, ²Palma De Mallorca/ES

DOI:

10.1594/ecr2018/C-1462

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-1462

Fig. 1

Fig. 2: Fetal circulation. Blood oxygenation takes place in the placenta since the...

Fig. 3: The normal path of the umbilical arterial catheter. The umbilical artery is...

Fig. 4: Radiological assessment of the UAC position. The UAC initially presents a...

Learning objectives

Presentatio Fig. 1 To review the neonatal vascular anatomy. To know the correct position of the most common catheters and tubes used in pediatric patients, particularly in neonates. To know the possible complications and risks from catheter and tube malpositioning.

Background

The technological advances and evolution of pediatric intensive care have led to a greater survival in preterm patients. To care for these patients it is necessary to use catheters and other devices that sometimes give complications. Umbilical catheters (arterial and venous), as well as endotracheal and nasogastric tubes are routinely used in the Neonatal Intensive Care Unit (NICU). For this reason, it is essential that the radiologist and pediatrician know the correct position of these devices, and know how to determine it by means of...

Findings and procedure details

TUBES AND CATHETERS IN PEDIATRICS The following are the most commonly used devices in pediatrics: Umbilical arterial catheter (UAC) Umbilical venous catheter (UVC) Central venous catheter (CVC) Endotracheal tube (ETT) Nasogastric tube (NGT) After placing each device, the correct positioning must be checked to avoid any complications, and this is usually made with x-ray, although it can also be determined sonographically or by other imaging tests, especially if a complication is suspected. In the case of vascular catheters, we have to assess: ⇒If they have...

Conclusion

The radiologist and pediatrician should know the correct position of the devices and catheters to identify possible malpositions that can lead to serious complications. X-Ray examination is the most useful technique for evaluating the position of catheters and tubes, but other complementary studies may be performed (complementary projections, ultrasound, CT, or MRI) on suspicion of complications.

Personal information

References

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