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  • Doppler echocardiography was not accurate for diagnosing asymptomatic thrombosis associated with an umbilical venous catheter in infants

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Doppler echocardiography was not accurate for diagnosing asymptomatic thrombosis associated with an umbilical venous catheter in infants

https://doi.org/10.1136/ebn.6.1.22

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    Roy M, Turner-Gomes S, Gill G, et al.Accuracy of Doppler echocardiography for the diagnosis of thrombosis associated with umbilical venous catheters.J Pediatr2002 ;140:131–4OpenUrlCrossRefPubMedWeb of Science

    QUESTION: What is the accuracy of Doppler echocardiography for diagnosing asymptomatic thrombosis associated with an indwelling umbilical venous catheter (UVC) in infants?

    Design

    Blinded comparison of Doppler echocardiography with contrast venography.

    Setting

    A neonatal intensive care unit (NICU) at a university based hospital in Hamilton, Ontario, Canada.

    Patients

    47 infants (mean gestational age 32.2 wks, mean birth weight 1962 g, 51% boys) who had in situ UVCs for ≥48 hours and the catheter was scheduled for elective removal. All catheters had single lumens and were made of polyvinyl chloride; heparin was not added to intravenous solutions and no blood products were given through the UVC. Exclusion criteria were symptoms and signs of catheter associated …

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    Footnotes

    • For correspondence: Dr B Schmidt, McMaster University, Hamilton, Ontario, Canada. Schmidt{at}mcmaster.ca

    • Source of funding: Regional Medical Associates of Hamilton, Ontario, Canada.