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: