Skip to main content
Log in

Comparison of JSS Formula with Modified Shukla’s Formula for Insertion of Umbilical Venous Catheter: A Randomized Controlled Study

  • Research Paper
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. Junker P, Egeblad M, Nielsen O, Kamper J. Umbilical vein catheterization and portal hypertension. Acta Paediatr Scand. 1976;65:499–04.

    Article  CAS  PubMed  Google Scholar 

  4. 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.

    Article  CAS  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. Vali P, Fleming SE, Kim JH. Determination of umbilical catheter placement using anatomic landmarks. Neonatology. 2010;98:381–6.

    Article  PubMed  Google Scholar 

  9. Fleming SE, Kim JH. Ultrasound–guided umbilical catheter insertion in neonates. J Perinatol. 2011;31:344–9.

    Article  CAS  PubMed  Google Scholar 

  10. Shukla H, Ferrara A. Rapid estimation of insertional length of umbilical catheters in newborns. Am J Dis Child. 1986;140:786–88.

    CAS  PubMed  Google Scholar 

  11. 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.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sushma Krishnegowda.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-019-1499-1

Keywords

Navigation