The correct position of the tip of a central venous access device is important in all patients, and especially in neonates. The traditional method of tip location (approximated intra-procedural length estimation + post procedural chest X-ray) is currently considered inaccurate and not cost-effective by most recent guidelines, which recommend the adoption of tip location by intracavitary electrocardiography (IC-ECG) whenever possible.
A total of 105 neonates were enrolled in this study and the conclusion is, when applied to ultrasound guided CICCs, tip location by IC-ECG is applicable and feasible in neonates, and it is safe and accurate.

Authors : Vito D’Andrea1 , Lucilla Pezza1, Giorgia Prontera1, Gina Ancora2, Mauro Pittiruti3 , Giovanni Vento1 and Giovanni Barone2
1 Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
2 Neonatal Intensive Care Unit, Azienda Sanitaria Romagna, Infermi Hospital Rimini, Rimini, Italy
3 Department of Surgery, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, Rome, Italy

Corresponding author: Vito D’Andrea, Department of Woman and Child Health and Public Health, Division of Neonatology, University Hospital Fondazione Policlinico Gemelli IRCCS, Largo A. Gemelli, Rome, Lazio 00168, Italy. Email:

The Journal of Vascular Access