The intracavitary electrocardiography method for positioning the tip of epicutaneous cava catheter in neonates: Pilot study

The neonatologists of Sant’Anna and San Sebastiano Hospital of Caserta have carried out a pilot study investigating the safety, feasibility, and accuracy of intracavitary electrocardiography for neonatal epicutaneous cava catheter tip positioning. 39 neonates were enrolled in this study and they concluded that the intracavitary electrocardiography method is safe and accurate in neonates as demonstrated in pediatric and adult patients. The applicability of the method is 97% and its feasibility is 79%. The overall accuracy is 76% but it rises to 97% if “peak” P wave is detected.

Authors : Antonella Capasso1, Rossella Mastroianni1, Annalisa Passariello2,3, Marta Palma2, Francesco Messina4, Antonella Ansalone1, Italo Bernardo1, Daniela Brescia1, Francesco Crispino1, Carolina Grassia1, Attilio Romano1 and Gaetano Ausanio1

1 Neonatal Intensive Care Unit, Hospital Sant’Anna and San Sebastiano, Caserta, Italy
2 Department of Translational Medical Science, University of Naples “Federico II,” Naples, Italy
3 Department of Pediatric Oncology, Santobono-Pausilipon Hospital, Naples, Italy
4 Neonatal Intensive Care Unit, “Villa Betania” Evangelical Hospital, Naples, Italy

Corresponding author: Gaetano Ausanio, Neonatal Intensive Care Unit, Hospital Sant’Anna and San Sebastiano, Palasciano Street, Caserta 81100, Italy. Email:

The Journal of Vascular Access