Pediatrics General Information
Bone Scanogram
Used to evaluate leg length discrepancy
Need measure the following:
Femur length = femoral head to medial femoral condyle
Tibia length - from medial plafond to ankle
Femur + tibia length - tip of femoral head to tibial plafond
Umbilical Arterial Catheter
Umbilical artery —> iliac artery —> Aorta
Two acceptable placements
High line = T8-10
Low line = L3 and below
Not in between because major arterial vessels located here and line increases risk of clot which can occlude major vessel
PICCs
2F or 3F
UE PICC - mid SVC
If in RA = needs repositioning, laceration, tamponade, etc.
LE PICC =
Umbilical Venous Catheter
Umbilical vein > left portal vein > ductus venosus > hepatic vein > IVC
Ideally at inferior cavo-atrial junction
References: