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

Wang, Jun; Yue, Guang H.; Yang, Hua; Li, Jing; Ju, Rong

doi:10.1002/ped4.12236

Cited by 4 publications

(3 citation statements)

References 17 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 With advances in enteral nutrition, UVC has become a common channel for nutrition and fluid delivery in the early postnatal period. 9 The second most frequent underlying cause in this study is respiratory distress syndrome (RDS), which was found in 82 neonates (64.6%). A previous study on 100 APGHN neonates revealed that RDS (56%) was the most frequently observed condition requiring UVC insertion.…”

Section: Discussionmentioning

confidence: 82%

Umbilical Venous Catheter Position Evaluation in Hasan Sadikin General Hospital : Overview of the Time Required

Suryaningrat,

Primadi,

Kadi

et al. 2024

Arch Pediatr Gastr Hepatol Nutr

View full text Add to dashboard Cite

Background: An umbilical venous catheter (UVC) is one of the most frequently used access in neonates. In developed countries, bedside ultrasonography (USG) is used in assessing the position of the UVC catheter’s tip. However, this is difficult to be implemented in developing countries. In Indonesia, which categorized as a middle- income developing country, the evaluation of UVC mainly used chest radiographs. However, this procedure would take time. The delay in ascertaining UVC positioning through chest radiography among neonatologists in Indonesia remains unstudied, despite its potential on the clinical efficacy. Therefore, this study aimed to determine the time required for the installation of the UVC and the interval from the completion of UVC insertion until the release of the chest radiography result. Method: In this prospective observational cohort study, neonates requiring UVC access were examined in Dr. Hasan Sadikin Hospital in Bandung, West Java. Patients underwent anthropometric measurements and UVC installation. Duration required for UVC installation and the interval between the completion of UVC insertion and the release of the chest radiography result were documented. Descriptive data were shown in percentage, mean and standard deviation. Result: 127 neonates were studied. The average time taken for UVC insertion was 31 minutes and the average time taken from the completion of UVC insertion until the release of chest radiography results was 6 hours. Conclusion: The long wait for chest radiography results significantly delayed the administration of fluids, medications, and parenteral nutrition in this study. Therefore, we need alternative tools to evaluate the UVC location that can be used bedside right after the installation.

show abstract

Section: Discussionmentioning

confidence: 82%

Umbilical Venous Catheter Position Evaluation in Hasan Sadikin General Hospital : Overview of the Time Required

Suryaningrat,

Primadi,

Kadi

et al. 2024

Arch Pediatr Gastr Hepatol Nutr

View full text Add to dashboard Cite

show abstract

“…The sample size calculation was based on UVC‐associated CLABSI incidence reported previously (5/1000 UV catheter days). 15 , 22 It was considered clinically significant if the UVC‐associated CLABSI incidence in patients with 7–15 days of UV catheter dwell time was two times of that in patients with less than 7 days of UV catheter dwell time. A sample size of 10 351 UV catheter days would achieve 80% power, assuming a one‐sided significance level of 0.05% and a 20% dropout rate.…”

Section: Methodsmentioning

confidence: 99%

“… 13 , 14 The average dwell time of umbilical catheters in various NICUs in China varied from 4.9 to 7.2 days. 15 , 16 However, most of the studies were single‐center studies. Currently, there is a lack of national‐level studies on dwell time of UV catheters, or the incidence of UVC‐associated CLABSI in China.…”

Section: Introductionmentioning

confidence: 99%

Dwell time and bloodstream infection incidence of umbilical venous catheterization in China

Zheng,

He,

Yang

et al. 2023

Pediatric Investigation

View full text Add to dashboard Cite

ImportanceCentral line‐associated bloodstream infection (CLABSI) is one of the most serious complications of central venous access devices. Reducing the risk of CLABSI is of utmost significance in efforts to improve neonatal mortality rates and enhance long‐term prognosis.ObjectiveTo determine the dwell time and incidence of CLABSI of umbilical venous catheterization (UVC) for preterm infants in China.MethodsPreterm infants with UVC admitted to 44 tertiary neonatal intensive care units in 24 provinces in China were enrolled. Study period was from November 2019 to August 2021. The end point of observations was 48 h after umbilical venous (UV) catheter removal. The primary outcomes were dwell time of UV catheter and UVC‐associated CLABSI. Data between infants with UV catheter dwell time ≤7 days and >7 days, and with birth weight (BW) ≤1000 g and >1000 g were compared.ResultsIn total, 2172 neonates were enrolled (gestational age 30.0 ± 2.4 weeks, BW 1258.5 ± 392.8 g). The median UV catheter dwell time was 7 (6–10) days. The incidence of UVC‐associated CLABSI was 3.03/1000 UV catheter days. For infants with UV catheter dwell time ≤7 days and >7 days, the UVC‐associated CLABSI incidence was 3.71 and 2.65 per 1000 UV catheter days, respectively, P = 0.23. For infants with UVC dwell times of 3–6, 7–12, and 13–15 days, the UVC‐associated CLABSI rates were 0.14%, 0.68%, and 2.48% (P < 0.01). The Kaplan–Meier plot of UV catheter dwell time to CLABSI showed no difference between infants with BW ≤1000 g and >1000 g (P = 0.60).InterpretationThe median dwell time of UV catheter was 7 days, and the incidence of UVC‐associated CLABSI was 3.03/1000 catheter days in China. The daily risk of UVC‐associated CLABSI and other complications increased with the dwell time.

show abstract

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

Self Cite

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

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

Cited by 4 publications

References 17 publications

Umbilical Venous Catheter Position Evaluation in Hasan Sadikin General Hospital : Overview of the Time Required

Umbilical Venous Catheter Position Evaluation in Hasan Sadikin General Hospital : Overview of the Time Required

Dwell time and bloodstream infection incidence of umbilical venous catheterization in China

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

Contact Info

Product

Resources

About