The Experts below are selected from a list of 219 Experts worldwide ranked by ideXlab platform
Eileen Cowan - One of the best experts on this subject based on the ideXlab platform.
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Point-of-care ultrasound use in Umbilical Line placement: a review
Journal of Perinatology, 2020Co-Authors: Ryan D. Meinen, Adam S. Bauer, Kelly Devous, Eileen CowanAbstract:Point-of-care ultrasound (POCUS) has become a novel tool for assessing Umbilical catheter tip location in the neonate. This review analyzes the current evidence on the efficacy and utility of POCUS for identifying Umbilical catheter positioning. MedLine, EMBASE, and Cochrane searches were performed until October 2018. Eight studies were identified comparing POCUS to x-ray in assessing Umbilical catheter tip location in the last 10 years. POCUS was shown to be feasible and appears to be a superior imagining modality to x-rays in assessing Umbilical Line tip location. POCUS is more accurate in determining Umbilical catheter positioning, allows for more rapid Line Umbilical catheter placement, and reduces the time to treatment as well as radiation exposure to the neonate when compared with x-ray. The available studies support further education in training neonatal providers to become proficient in POCUS for assessing Umbilical Lines.
Ryan D. Meinen - One of the best experts on this subject based on the ideXlab platform.
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Point-of-care ultrasound use in Umbilical Line placement: a review
Journal of Perinatology, 2020Co-Authors: Ryan D. Meinen, Adam S. Bauer, Kelly Devous, Eileen CowanAbstract:Point-of-care ultrasound (POCUS) has become a novel tool for assessing Umbilical catheter tip location in the neonate. This review analyzes the current evidence on the efficacy and utility of POCUS for identifying Umbilical catheter positioning. MedLine, EMBASE, and Cochrane searches were performed until October 2018. Eight studies were identified comparing POCUS to x-ray in assessing Umbilical catheter tip location in the last 10 years. POCUS was shown to be feasible and appears to be a superior imagining modality to x-rays in assessing Umbilical Line tip location. POCUS is more accurate in determining Umbilical catheter positioning, allows for more rapid Line Umbilical catheter placement, and reduces the time to treatment as well as radiation exposure to the neonate when compared with x-ray. The available studies support further education in training neonatal providers to become proficient in POCUS for assessing Umbilical Lines.
S J Mitchell - One of the best experts on this subject based on the ideXlab platform.
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EFFECT OF WATER-FILTERED INFRARED A HEATING ON THERMAL STABILITY DURING Umbilical Line INSERTION IN PRETERM INFANTS
Archives of Disease in Childhood, 2008Co-Authors: S Samanta, S J MitchellAbstract:Background Hypothermia, particularly during stabilisation and invasive procedures is recognised as a contributor to perinatal morbidity in preterm infants.1 Water-filtered IR-A (WIRA) has been used successfully for warming in neonates. Advantages compared with conventional management are its ability to pass through incubator walls and reduced evaporative water loss.2 Methods Infants below 28 weeks gestation requiring Umbilical Line insertion were randomly assigned to be managed either in an incubator using air control or in an incubator using air control plus a WIRA lamp during the procedure. Axillary temperature before and at completion of the procedure was recorded. Results Total of 44 infants were randomly assigned. Data were analysed on an intention to treat basis. There was no significant difference in baseLine characteristics between the two groups. The admission temperature was similar between the two groups. The median (interquartile range) preprocedure temperature in the conventional group was 36.8°C (36.5–37.6) versus 37.1°C (36.7–37.4) in the WIRA group (p>0.05). The median temperature post-procedure was 37°C (36.3–37.7) in the conventional group versus 37.4°C (36.9–38.2) in the intervention group and this reached statistical significance (p = 0.04). Conclusions WIRA was more effective in maintaining temperature than conventional warming but caution is required to avoid overheating.
Adam S. Bauer - One of the best experts on this subject based on the ideXlab platform.
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Point-of-care ultrasound use in Umbilical Line placement: a review
Journal of Perinatology, 2020Co-Authors: Ryan D. Meinen, Adam S. Bauer, Kelly Devous, Eileen CowanAbstract:Point-of-care ultrasound (POCUS) has become a novel tool for assessing Umbilical catheter tip location in the neonate. This review analyzes the current evidence on the efficacy and utility of POCUS for identifying Umbilical catheter positioning. MedLine, EMBASE, and Cochrane searches were performed until October 2018. Eight studies were identified comparing POCUS to x-ray in assessing Umbilical catheter tip location in the last 10 years. POCUS was shown to be feasible and appears to be a superior imagining modality to x-rays in assessing Umbilical Line tip location. POCUS is more accurate in determining Umbilical catheter positioning, allows for more rapid Line Umbilical catheter placement, and reduces the time to treatment as well as radiation exposure to the neonate when compared with x-ray. The available studies support further education in training neonatal providers to become proficient in POCUS for assessing Umbilical Lines.
Kelly Devous - One of the best experts on this subject based on the ideXlab platform.
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Point-of-care ultrasound use in Umbilical Line placement: a review
Journal of Perinatology, 2020Co-Authors: Ryan D. Meinen, Adam S. Bauer, Kelly Devous, Eileen CowanAbstract:Point-of-care ultrasound (POCUS) has become a novel tool for assessing Umbilical catheter tip location in the neonate. This review analyzes the current evidence on the efficacy and utility of POCUS for identifying Umbilical catheter positioning. MedLine, EMBASE, and Cochrane searches were performed until October 2018. Eight studies were identified comparing POCUS to x-ray in assessing Umbilical catheter tip location in the last 10 years. POCUS was shown to be feasible and appears to be a superior imagining modality to x-rays in assessing Umbilical Line tip location. POCUS is more accurate in determining Umbilical catheter positioning, allows for more rapid Line Umbilical catheter placement, and reduces the time to treatment as well as radiation exposure to the neonate when compared with x-ray. The available studies support further education in training neonatal providers to become proficient in POCUS for assessing Umbilical Lines.