A review of umbilical venous catheter-related complications at a tertiary neonatal unit in Singapore

Goh, Sharon Si Min; Kan, Sheau Yun; Bharadwaj, Srabani; Poon, Woei Bing

doi:10.11622/smedj.2019140

Cited by 21 publications

(14 citation statements)

References 30 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The data that support the findings of this study are openly available in PubMed [ 1 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. Reference [ 2 ] is available in PubMed with URL at: (accessed on 25 December 2022).…”

supporting

confidence: 72%

“…However, complications associated with CVCs are not only infectious. In particular, regarding UVCs, non-infectious complications may occur: malposition (30% of cases), peritoneal extravasation (2.8% of cases), venous thrombosis (1.9% of cases), difficulties in removal (0.4% of cases), symptomatic thrombosis (0.4% of cases), cardiac tamponade (0.1% of cases) and pleural effusion (0.1% of cases) [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Infectious Risks Related to Umbilical Venous Catheter Dwell Time and Its Replacement in Newborns: A Narrative Review of Current Evidence

Corso

Buttera

Candia

et al. 2022

Life

View full text Add to dashboard Cite

The use of umbilical venous catheters (UVCs) has become the standard of care in the neonatal intensive care unit (NICU) to provide newborns fluids, medications and parenteral nutrition. However, is well known that UVCs can be related to some serious complications, both mechanical and infective, including CLABSI (Central Line-Associated Bloodstream Infections). Most authors recommend removing UVC within a maximum of 14 days from its placement. However, the last Infusion Therapy Standards of Practice (INS) guidelines recommends limiting the UVC dwell time to 7 to 10 days, in order to reduce risks of infectious and thrombotic complications. These guidelines also suggest UVC removal at 4 days followed by insertion of a PICC if a central access is still needed as an infection prevention strategy. Nevertheless, the maximum UVC dwell time in order to reduce the risk of CLABSI is still controversial, as well as the time of its replacement with a PICC. In this study we reviewed a total of 177 articles, found by using the PubMed database with the following search strings: “UVC AND neonates”, “(neonate* OR newborn*) AND (UVC OR central catheter*) AND (infection*)”. As previously mentioned, we also analyzed INS guidelines to provide the readers an updated overview on this topic. The purpose of this review is to provide updated information on CVCs infectious risks by examining the literature in this field. These data could help clinicians make decisions regarding the best time to remove the UVC or to replace it with a PICC, in order to reduce CLABSIs risk. Despite a lack of strong evidence, the risk of CLABSI seems to be minimized when UVC is removed/replaced within 7 days from insertion and this indication is emerging from more recent and larger studies.

show abstract

supporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Infectious Risks Related to Umbilical Venous Catheter Dwell Time and Its Replacement in Newborns: A Narrative Review of Current Evidence

Corso

Buttera

Candia

et al. 2022

Life

View full text Add to dashboard Cite

show abstract

“…Most UVC‐associated complications (86.2%) were location problems. In the study of UVC‐related complications in a neonatal ward in Singapore, one ‐third of UVC ( n = 33) were inappropriately positioned, and 16 infants (14.8%) developed catheter‐related infection 5 . UVC can sometimes cause serious complications, such as pericardial tamponade and arrhythmias 6,7 …”

Section: Discussionmentioning

confidence: 99%

Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding

Wang

Yue

Yang

et al. 2021

Pediatric Investigation

View full text Add to dashboard Cite

Introduction Portal venous gas (PVG) is common in necrotizing enterocolitis and occasionally occurs in neonates after umbilical vein catheterization (UVC). Therefore, determining the cause of PVG requires further clinical evaluation in these cases. Case presentation We report the case of a very‐low‐birth‐weight infant who underwent UVC after birth. PVG was an unexpected finding on ultrasound following catheterization. The UVC was immediately removed and replaced with a peripherally inserted central catheter. The infant’s physical examination was unremarkable. Bedside X‐ray revealed neither PVG nor pneumatosis intestinalis, which would indicate the onset of necrotizing enterocolitis. After full evaluation, breastfeeding was started on the same day. The infant did not develop feeding intolerance, necrotizing enterocolitis, or other disorders. Conclusion PVG occasionally occurs in neonates who undergo UVC and is considered to be caused by exogenous gases. PVG is more easily detected with ultrasound than with X‐ray and does not affect early feeding in premature infants.

show abstract

“…Seit Etablierung der Sonografie werden zunehmend Komplikationen im Bereich der Lebergefäße nach NVK-Anlage frühzeitig beobachtet. Diese werden mit einer sehr unterschiedlichen Häufigkeit je nach betrachtetem Kollektiv angegeben [18,23,24]. In einer retrospektiven Studie an 210 Frühgeborenen mit einem Geburtsgewicht < 1250 g betrug die Rate an Pfortaderthrombosen 10 % und in einer weiteren Analyse an 109 Früh-und Reifgeborenen sogar 43 % [25].…”

Section: Thrombose Und Nabelvenenkatheterunclassified

Nabelvenenkatheter in der neonatologischen Intensivbehandlung – Teil 2

Hoppen¹,

Paulun²

2020

Neonatologie Scan

View full text Add to dashboard Cite

A review of umbilical venous catheter-related complications at a tertiary neonatal unit in Singapore

Cited by 21 publications

References 30 publications

Infectious Risks Related to Umbilical Venous Catheter Dwell Time and Its Replacement in Newborns: A Narrative Review of Current Evidence

Infectious Risks Related to Umbilical Venous Catheter Dwell Time and Its Replacement in Newborns: A Narrative Review of Current Evidence

Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding

Nabelvenenkatheter in der neonatologischen Intensivbehandlung – Teil 2

Contact Info

Product

Resources

About