Description

Jeng et al evaluated several equations for estimating the length to insert a catheter into the umbilical artery. They modified the equations for Chinese neonates.


 

Goal: placement of tip between T7 and T9

 

Parameters:

(1) birth weight in kg

(2) distance from suprasternal notch to pubic symphysis in cm

(3) total body length in cm

(4) sagittal distance between a horizontal line through the shoulders and a horizontal line through the umbilicus

 

length of the arterial catheter in cm =

= (7 * (birthweight)) + 2

= distance from the suprasternal notch to the pubic symphysis in cm

= (0.333 * (total body length)) + 0.5

= (sagittal distance between shoulder and umbilicus) + 1

 

If an umbilical stump is present then its length needs to be included in the calculation.

 

NOTE: The estimate from the birthweight equation does not match the other equations. Performance may be better at low birthweights. Alternatively there was a mistranslation from the Chinese and a different multiplication factor is needed.

 


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