Risk factors for umbilical vascular catheter–related adverse events: A scoping review

Gibson, Kim; Sharp, Rebecca; Ullman, Amanda; Morris, Scott; Kleidon, Tricia; Esterman, Adrian

doi:10.1016/j.aucc.2021.02.010

Cited by 6 publications

(4 citation statements)

References 97 publications

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“…Major adverse effects associated with umbilical catheterization are central line-associated bloodstream infection, tip migration and malposition, and thrombosis. 1 10 The incidence of complications increases with malpositioning. 4 12 Improperly secured lines are associated with high rates of migration and malpositioning.…”

Section: Discussionmentioning

confidence: 99%

“…5 Traditional methods of umbilical line securement provide relatively low amounts of strain relief and do not physically protect the insertion site, which results in a high incidence of line migration and malposition requiring line removal. 1 6 9 NUSD is a novel umbilical line securement device designed to protect the insertion site and provide a standardized, quick securement technique. 9 NICU patients who undergo surgery are at a higher risk of line malposition during transportation or abdominal manipulation.…”

Section: Discussionmentioning

confidence: 99%

“…Umbilical catheters are commonly used in neonatal invasive care units (NICUs) to provide vital vascular access for premature or critically ill infants. 1 Currently, umbilical venous catheters (UVCs) are the standard central venous access for administration of medications, high osmolarity fluids, and blood products. Umbilical arterial catheters (UACs) enable continuous invasive monitoring of blood pressure and regular analysis of blood samples.…”

mentioning

confidence: 99%

“…Umbilical arterial catheters (UACs) enable continuous invasive monitoring of blood pressure and regular analysis of blood samples. 1 Ideally, the UAC lies between T6 and T9 if positioned appropriately, 2 while the ideal location of UVC tip is at the inferior vena cava–right atrium (IVC/RA) junction. 3 Studies have shown that the majority of umbilical catheters migrate over time after insertion, usually initially inward and subsequently outward to a lower position.…”

mentioning

confidence: 99%

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Novel Umbilical Catheter Securement and Protection Device for Umbilical Line Securement during Laparotomy

Salimi-Jazi,

Wood,

Rafeeqi

et al. 2023

Am J Perinatol

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Objective: Umbilical catheter malposition rate is high. We compared a Novel Umbilical Securement Device (NUSD) to standard methodologies for NICU patients undergoing laparotomy. Study design: Retrospective study was performed on infants undergoing laparotomy from April 2019 to January 2023. Two neonatologists compared position of UAC/UVC on perioperative CXRs in patients with or without NUSD. Results: 18 patients underwent laparotomy. 8 patients had NUSD (9 lines), and 10 patients didn’t (14 lines). In NUSD group, mean gestational age was 374 weeks and mean birth weight was 2.30.9 kg compared to 318 weeks and 2.11.4 kg in non-NUSD group. The mean age at surgery was 57 and 53 days respectively. No malposition was seen in NUSD group, while 57% of UVCs (28% of lines) were malpositioned post-operatively in non-NUSD group (p: 0.048). Conclusion: NUSD is an umbilical catheter securement device with low malposition rate, specifically during perioperative period with heightened risk for dislodgement.

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