{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T20:40:10Z","timestamp":1752007210852,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T00:00:00Z","timestamp":1537660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess whether a limited ultrasound (US) scanning protocol to monitor the upper extremity peripherally inserted central catheter (PICC) location in neonates is feasible for experienced US operators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A radiologist, who was blinded to the PICC location on chest radiography, performed 14 US scans on 11 neonates with upper extremity PICCs. A US machine with 13\u20136\u2010MHz linear and 8\u20134\u2010MHz phased array transducers was used for the examinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study population included 54% (n\u2009=\u20096) preterm infants, with 72% (n\u2009=\u20098) weighing less than 1500\u2009g. The US location of the PICC was the same as the chest radiographic report in all 14 scans. A subclavicular long\u2010axis view of the anterior chest visualized all PICCs in the subclavian or brachiocephalic veins. A parasternal long\u2010axis right ventricular inflow view was able to visualize PICCs in the superior vena cava (SVC), and a subcostal long\u2010axis view evaluated PICCs in the lower SVC and heart. The scanning time was location dependent: less than 5 minutes for PICCs in the brachiocephalic or subclavian vein and 5 to 10 minutes for PICCs in the SVC or heart. There were no desaturations below 90%, increases in the fraction of inspired oxygen need, or hypotension episodes during scanning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A limited US scanning protocol to determine the upper extremity PICC location is feasible. Our protocol needs to be tested in neonatal providers before further dissemination.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.14816","type":"journal-article","created":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T12:36:10Z","timestamp":1537706170000},"page":"1341-1347","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Limited Ultrasound Protocol for Upper Extremity Peripherally Inserted Central Catheter Monitoring: A Pilot Study in the Neonatal Intensive Care Unit"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-9214","authenticated-orcid":false,"given":"Patrick","family":"Motz","sequence":"first","affiliation":[{"name":"Departments of Neonatology University of Washington Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelie von Saint Andre von","family":"Arnim","sequence":"additional","affiliation":[{"name":"Pediatric 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