Abstract
Objective
To compare the rate of optimal position of UVC between modified Shukla’s formula and JSS formula.
Methods
Babies requiring umbilical vein catheterization were randomized to either Shukla or JSS formula group. Post-procedure X-ray was taken to check the tip position. Tip of the UVC just above the diaphragm (T9 - T10) was considered optimal. Success rate in achieving optimal position between the two groups were compared.
Results
Out of 104 babies recruited, 50 were randomized for Shukla’s formula and 54 for JSS formula. Catheter tips were in acceptable positions in 39.6% of Shukla group as compared to 56% in JSS group (P=0.02).
Conclusion
The JSS Formula resulted in more optimal placement of UVC than the modified Shukla formula.
Similar content being viewed by others
References
Bradshaw WT, Furdon SA. A nurse’s guide to early detection of umbilical venous catheter complications in infants. Advances in Neonatal Care. 2006;6:127–38.
Furdon SA, Horgan MJ, Bradshaw WT, Clark DA. Nurses’ guide to early detection of umbilical arterial catheter complications in infants. Advances in Neonatal Care. 2006;6:242–5.
Junker P, Egeblad M, Nielsen O, Kamper J. Umbilical vein catheterization and portal hypertension. Acta Paediatr Scand. 1976;65:499–04.
Darling JC, Newell SJ, Mohamdee O, Uzun O, Cullinane CJ, Dear PR. Central venous catheter tip in the right atrium: A risk factor for neonatal cardiac tamponade. J Perinatol. 2001;21:461–4.
Verheij GH, te Pas AB, Smits–Wintjens VE, Šràmek A, Walther FJ, Lopriore E. Revised formula to determine the insertion length of umbilical vein catheters. Eur J Pediatr. 2013;172:1011–5.
Goodarzi R, Tariverdi M, khamesan B, Barchinejad M, Zare S, Houshmandi MM. Dunn and Shukla methods for predicting length of umbilical cathetes in newborns. Asian J Med Pharma Res. 2014;4:85–133.
Verheij GH, te Pas AB, Smits–Wintjens VE, Šràmek A, Walther FJ, Lopriore E. Revised formula to determine the insertion lenfth of umbilical vein catheters. Eur J Pediatr. 2013;172:1011–5.
Vali P, Fleming SE, Kim JH. Determination of umbilical catheter placement using anatomic landmarks. Neonatology. 2010;98:381–6.
Fleming SE, Kim JH. Ultrasound–guided umbilical catheter insertion in neonates. J Perinatol. 2011;31:344–9.
Shukla H, Ferrara A. Rapid estimation of insertional length of umbilical catheters in newborns. Am J Dis Child. 1986;140:786–88.
Verheij GH, te Pas AB, Witlox RSGM, Smits–Wintjens VEHJ, Walther FJ, Lopriore E. Poor accuracy of methods currently used to determine umbilical catheter insertion length. Int J Pediatr. 2010;2010:873167.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Krishnegowda, S., Thandaveshwar, D., Mahadevaswamy, M. et al. Comparison of JSS Formula with Modified Shukla’s Formula for Insertion of Umbilical Venous Catheter: A Randomized Controlled Study. Indian Pediatr 56, 199–201 (2019). https://doi.org/10.1007/s13312-019-1499-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-019-1499-1