Umbilical Vascular Catheterization

Anderson, J. Kyle; Leonard, Douglas; Braner, Dana; Lai, Susanna; Tegtmeyer, Ken

doi:10.1056/nejmvcm0800666

Cited by 70 publications

(36 citation statements)

References 1 publication

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“…The ideal catheter tip position to minimise complications is outside the heart at the junction of inferior vena cava (IVC) and right atrium (RA) 3 4. The complications associated with malpositioned UVC include pericardial effusion, cardiac tamponade,5 6 pleural effusion,7 8 thrombosis,9 10 cardiac arrhythmias,11 endocarditis,12 liver haematoma,13 diffuse liver injury14 and portal hypertension 15…”

Section: Introductionmentioning

confidence: 99%

Ultrasound assessment of umbilical venous catheter migration in preterm infants: a prospective study

Franta

Harabor²,

Soraisham

2016

Arch Dis Child Fetal Neonatal Ed

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Section: Introductionmentioning

confidence: 99%

Ultrasound assessment of umbilical venous catheter migration in preterm infants: a prospective study

Franta

Harabor²,

Soraisham

2016

Arch Dis Child Fetal Neonatal Ed

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“…Complications of the umbilical venous catheterization such as infection and venous thrombosis are described. (16) Multiple interventions have been recommended to prevent central line associated blood stream infections. Limiting central line access for blood draws or injecting medications, enforcing "scrub the hub" before accessing the central line, removing the UVC as soon as possible, and replacing UVCs with peripherally inserted central catheters are some of the suggested interventions.…”

Section: Critique and Discussionmentioning

confidence: 99%

Umbilical Vein Catheterization

2013

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Twenty nine term newborns were studied at a Regional Hospital in Southern Chile to test the prophylactic value of antibiotics in infants undergoing blood exchange procedures by umbilical catheterlsm. Patients were asigned into two different groups, with or without antibiotic prophylaxis respectively. Complete blood counts and blood cultures were done in the third day after the procedure on both groups. There were 5 positive blood cultures among 15 newborns receiving antibiotics and 5 among 14 newborns managed without drugs. In retrospect and because no clinical nor hemathological evidence of infection was found in those patients, positive blood cultures were considered contaminated. It is concluded that in our experience the prophylactic use of antibiotics in term newborns undergoing umbilical catheterism is not useful in the prevention of secondary infections. (

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“…Umbilical catheterisation can be complicated by infection, ischaemic and thromboembolic events (affecting various organs), haemorrhage, hypoglycaemia, extravasation, peritonitis, hepatic laceration, cardiac tamponade, arrhythmias or pulmonary infarction 6. Reported in the literature are several cases of umbilical catheterisation causing direct peritoneal perforation or urachal/bladder perforation/injury.…”

Section: Discussionmentioning

confidence: 99%

Recognising serious umbilical cord anomalies

et al. 2013

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Umbilical vessel catheterisation is a common intervention in neonatal care. Many complications are recognised, some of which are life-threatening. We report the case of a term neonate who was compromised at birth following antepartum haemorrhage with evidence of multiorgan ischaemic injury. Following resuscitation and umbilical vessel catheterisation, she developed pneumoperitoneum. At laparotomy, a patent vitellointestinal duct was identified and resected. Intestinal perforation was found in the duct wall, most plausibly explained by the unintentional catheterisation of the duct via the umbilicus. Learning to recognise umbilical cord anomalies, such as patent vitellointestinal duct, can be simple and could prevent potentially serious complications.

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Umbilical Vascular Catheterization

Cited by 70 publications

References 1 publication

Ultrasound assessment of umbilical venous catheter migration in preterm infants: a prospective study

Ultrasound assessment of umbilical venous catheter migration in preterm infants: a prospective study

Umbilical Vein Catheterization

Recognising serious umbilical cord anomalies

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