Dose-Related Analysis in Percutaneous Central Venous Catheters Insertion: Experience of a Pediatric Interventional Radiology Center
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
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- Dose-area product (DAP) is the quantity usually used in radiographic and fluoroscopic procedures to provide indications about the radiation dose delivered to a patient. It is defined as the product of the surface area of the patient that is exposed to radiation at the skin entrance and radiation dose at this surface. It can be calculated using the following equation:
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- Equivalent dose (HT) measures the biological damage caused by the absorption of radiation by an organ or tissue. It is defined as the mean absorbed dose deposited in body tissue or organ T multiplied by the radiation weighting factor (wR) and can be calculated using the following equation:
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- The effective dose, E, is defined by the weighted sum of tissue equivalent doses and can be calculated using the following equation:
References
- Granata, C.; Sorantin, E.; Seuri, R.; Owens, C.M. European Society of Paediatric Radiology Computed Tomography and Dose Task Force: European Guidelines on Diagnostic Reference Levels for Paediatric Imaging. Pediatric Radiol. 2019, 49, 702–705. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Pittiruti, M.; Malerba, M.; Carriero, C.; Tazza, L.; Gui, D. Which Is the Easiest and Safest Technique for Central Venous Access? A Retrospective Survey of More than 5400 Cases. J. Vasc. Access 2000, 1, 100–107. [Google Scholar] [CrossRef] [PubMed]
- Chida, K.; Saito, H.; Otani, H.; Kohzuki, M.; Takahashi, S.; Yamada, S.; Shirato, K.; Zuguchi, M. Relationship between Fluoroscopic Time, Dose-Area Product, Body Weight, and Maximum Radiation Skin Dose in Cardiac Interventional Procedures. AJR Am. J. Roentgenol. 2006, 186, 774–778. [Google Scholar] [CrossRef] [PubMed]
- Storm, E.S.; Miller, D.L.; Hoover, L.J.; Georgia, J.D.; Bivens, T. Radiation Doses from Venous Access Procedures. Radiology 2006, 238, 1044–1050. [Google Scholar] [CrossRef] [PubMed]
- Friend, J.; Lindsey-Temple, S.; Gollow, I.; Whan, E.; Gera, P. Review of the Radiation Exposure during Screening of Surgically Implanted Central Venous Access Devices. J. Pediatric Surg. 2015, 50, 1214–1219. [Google Scholar] [CrossRef] [PubMed]
- Avanzini, S.; Guida, E.; Conte, M.; Faranda, F.; Buffa, P.; Granata, C.; Castagnola, E.; Fratino, G.; Mameli, L.; Michelazzi, A.; et al. Shifting from Open Surgical Cut down to Ultrasound-Guided Percutaneous Central Venous Catheterization in Children: Learning Curve and Related Complications. Pediatric Surg. Int. 2010, 26, 819–824. [Google Scholar] [CrossRef] [PubMed]
- Pediatric Anesthesia Practice in Italy: A Multicenter National Prospective Observational Study Derived from the APRICOT Trial. Minerva Anestesiol. 2020, 86, 295–303. Available online: https://www.minervamedica.it/en/journals/minerva-anestesiologica/article.php?cod=R02Y2020N03A0295 (accessed on 23 April 2022).
- Petrucci, E.; Vittori, A.; Cascella, M.; Vergallo, A.; Fiore, G.; Luciani, A.; Pizzi, B.; Degan, G.; Fineschi, V.; Marinangeli, F. Litigation in Anesthesia and Intensive Care Units: An Italian Retrospective Study. Healthcare 2021, 9, 1012. [Google Scholar] [CrossRef] [PubMed]
- Disma, N.; Veyckemans, F.; Virag, K.; Hansen, T.G.; Becke, K.; Harlet, P.; Vutskits, L.; Walker, S.M.; de Graaff, J.C.; Zielinska, M.; et al. Morbidity and Mortality after Anaesthesia in Early Life: Results of the European Prospective Multicentre Observational Study, Neonate and Children Audit of Anaesthesia Practice in Europe (NECTARINE). Br. J. Anaesth. 2021, 126, 1157–1172. [Google Scholar] [CrossRef] [PubMed]
- Disma, N.; Virag, K.; Riva, T.; Kaufmann, J.; Engelhardt, T.; Habre, W.; NECTARINE Group of the European Society of Anaesthesiology Clinical Trial Network; AUSTRIA (Maria Vittinghoff); BELGIUM (Francis Veyckemans); CROATIA (Sandra Kralik); et al. Difficult Tracheal Intubation in Neonates and Infants. NEonate and Children AudiT of Anaesthesia PRactice IN Europe (NECTARINE): A Prospective European Multicentre Observational Study. Br. J. Anaesth. 2021, 126, 1173–1181. [Google Scholar] [CrossRef] [PubMed]
- Parigi, G.B.; Verga, G. Accurate Placement of Central Venous Catheters in Pediatric Patients Using Endocavitary Electrocardiography: Reassessment of a Personal Technique. J. Pediatric Surg. 1997, 32, 1226–1228. [Google Scholar] [CrossRef]
- Schummer, W.; Schummer, C.; Schelenz, C.; Brandes, H.; Stock, U.; Müller, T.; Leder, U.; Hüttemann, E. Central Venous Catheters—The Inability of “intra-Atrial ECG” to Prove Adequate Positioning. Br. J. Anaesth. 2004, 93, 193–198. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Armpilia, C.I.; Fife, I.A.J.; Croasdale, P.L. Radiation Dose Quantities and Risk in Neonates in a Special Care Baby Unit. Br. J. Radiol. 2002, 75, 590–595. [Google Scholar] [CrossRef] [PubMed]
- The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann. ICRP 2007, 37, 1–332. [CrossRef]
- Makri, T.; Yakoumakis, E.; Papadopoulou, D.; Gialousis, G.; Theodoropoulos, V.; Sandilos, P.; Georgiou, E. Radiation Risk Assessment in Neonatal Radiographic Examinations of the Chest and Abdomen: A Clinical and Monte Carlo Dosimetry Study. Phys. Med. Biol. 2006, 51, 5023–5033. [Google Scholar] [CrossRef] [PubMed]
- Olgar, T.; Onal, E.; Bor, D.; Okumus, N.; Atalay, Y.; Turkyilmaz, C.; Ergenekon, E.; Koc, E. Radiation Exposure to Premature Infants in a Neonatal Intensive Care Unit in Turkey. Korean J. Radiol. 2008, 9, 416–419. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Jones, N.F.; Palarm, T.W.; Negus, I.S. Neonatal Chest and Abdominal Radiation Dosimetry: A Comparison of Two Radiographic Techniques. Br. J. Radiol. 2001, 74, 920–925. [Google Scholar] [CrossRef] [PubMed]
- Minkels, T.J.M.; Jeukens, C.R.L.P.N.; Andriessen, P.; van der Linden, A.N.; Dam, A.J.; van Straaten, H.L.M.; Cottaar, E.J.E.; van Pul, C. Dose Evaluation for Digital X-ray Imaging of Premature Neonates. Radiat. Prot. Dosim. 2017, 177, 440–449. [Google Scholar] [CrossRef] [PubMed]
- Kiljunen, T.; Tietäväinen, A.; Parviainen, T.; Viitala, A.; Kortesniemi, M. Organ Doses and Effective Doses in Pediatric Radiography: Patient-Dose Survey in Finland. Acta Radiol. 2009, 50, 114–124. [Google Scholar] [CrossRef] [PubMed]
<4 y | 4–10 y | 10–14 y | 14–18 y | |
---|---|---|---|---|
2016 | 147 | 91 | 48 | 32 |
2017 | 142 | 112 | 52 | 47 |
2018 | 141 | 107 | 50 | 53 |
2019 | 148 | 128 | 55 | 57 |
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Natali, G.L.; Cassanelli, G.; Polito, C.; Cannatà, V.; Martinelli, M.; Rollo, M. Dose-Related Analysis in Percutaneous Central Venous Catheters Insertion: Experience of a Pediatric Interventional Radiology Center. Children 2022, 9, 679. https://doi.org/10.3390/children9050679
Natali GL, Cassanelli G, Polito C, Cannatà V, Martinelli M, Rollo M. Dose-Related Analysis in Percutaneous Central Venous Catheters Insertion: Experience of a Pediatric Interventional Radiology Center. Children. 2022; 9(5):679. https://doi.org/10.3390/children9050679
Chicago/Turabian StyleNatali, Gian Luigi, Giulia Cassanelli, Claudia Polito, Vittorio Cannatà, Marco Martinelli, and Massimo Rollo. 2022. "Dose-Related Analysis in Percutaneous Central Venous Catheters Insertion: Experience of a Pediatric Interventional Radiology Center" Children 9, no. 5: 679. https://doi.org/10.3390/children9050679