WOFAPS 2025 8th World Congress of Pediatric Surgery

Hany Embaby

Ahmed Maher Teaching hospital GOTHI Ministry of Health Egypt

Title:

Handheld vs. Desktop Ultrasound in Neonatal Venous Access: Early Comparative Data on First-Puncture Success and Outcomes

Abstract:

Ultrasound-guided central venous access in neonates has significantly improved procedural safety and success. With the advent of portable handheld ultrasound devices, questions have emerged regarding their efficacy compared to conventional desktop machines. This oral presentation presents early data from a prospective comparative study evaluating the outcomes of handheld versus desktop ultrasound in guiding central venous access in neonates.

The study analyzes key parameters including first-puncture success rate, total procedure time, image clarity, and complication rates. Preliminary findings indicate that while both modalities are effective, handheld devices demonstrate comparable first-attempt success with notable advantages in portability and ease of bedside use, especially in high-acuity or space-limited settings. However, limitations in image resolution and battery-dependent operation are also discussed. The presentation highlights the potential role of handheld ultrasound in expanding access to real-time guided procedures in neonatal units, particularly in low-resource environments.