Position of the umbilical venous catheter in neonatal resuscitation
Article Sidebar
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Main Article Content
Abstract
The article summarizes many years of experience with radiographs in the neonatal intensive care unit (ICU), provides criteria for the correct and acceptable position of the umbilical venous catheter (UVC). Of the 180 cases observed by the authors, images of 16 clinical cases with incorrectly set UVC, were selected and presented in the article. All radiographs shown are classified depending on the depth of insertion and inadmissible location of the catheter; rationale and interpretation of images are given, with an explanation of possible complications in each case. Based on the above material, the need for "input control" upon admission of a newborn from the maternity ward (transfer to a specialized hospital) was proved in order to prevent the development of complications: pulmonary embolism, iatrogeny
Article Details
References
Hermansen M.C., Hermansen M.G. Intravascular catheter complications in the neonatal intensive care unit. Clin Perinatol. 2005; 32: 141-156 DOI: https://doi.org/10.1016/j.clp.2004.11.005
Hagerott H.E., Kulkarni S., Restrepo R., Reeves-Garcia J. Clinicalradiologic features and treatment of hepatic lesions caused by inadvertent infusion of parenteral nutrition in liver parenchyma due to malposition of umbilical vein catheters. Pediatr Radiol. 2014; 44: 810-815 DOI: https://doi.org/10.1007/s00247-014-2895-2
Jain SN. A pictorial essay: Radiology of lines and tubes in the intensive care unit. Indian J Radiol Imaging. 2011;21 (3): 182-90. doi:10.4103/0971-3026.85365. DOI: https://doi.org/10.4103/0971-3026.85365
Аquino SL. Routine chest radiograph. ACR appropriateness criteria, 2006. American College of Radiology. Available from:
http://www.acr.org. [Last accessed on 2011 Mar 12].
Bekemeyer WB, Crapo RO, Calhoon S, Cannon CY, Clayton PD. Efficacy of chest radiography in a respiratory intensive care unit. A prospective study. Chest 1985;88:691-6. DOI: https://doi.org/10.1378/chest.88.5.691
Grizelj R., Vukovic J., Bojanic K., Loncarevic D., Stern-Padovan R., Filipovic-Grcic B. et al. Severe liver injury while using umbilical
venous catheter: case series and literature review. Am J Perinatol. 2014; 31: 965-974 DOI: https://doi.org/10.1055/s-0034-1370346
Hoellering A.B., Koorts P.J., Cartwright D.W., Davies M.W. Determination of umbilical venous catheter tip position with radiograph. Pediatr Crit Care Med. 2014; 15: 56-61 DOI: https://doi.org/10.1097/PCC.0b013e31829f5efa
Franta J., Harabor A., Soraisham A.S. US assessment of umbilical venous catheter migration in preterm infants: a prospective study.
Arch Dis Child Fetal Neonatal Ed. 2017; 102: F251-F255 DOI: https://doi.org/10.1136/archdischild-2016-311202
Guimarães A.F., Souza A.A., Bouzada M.C., Meira Z.M. Accuracy of chest radiography for positioning of the umbilical venous catheter.
J Pediatr (Rio J). 2017; 93: 172-178 DOI: https://doi.org/10.13109/homh.2017.93.4.178
Hsin-Jen Chen, Hsun-Chin Chao, Ming-Chou Chiang, Shih-Ming Chu. Hepatic extravasation complicated by umbilical venous
catheterization in neonates: A 5-year, single-center experience. Pediatrics and neonatology. Vol. 61, issue 1, p. 16-24, February 01,
DOI: https://doi.org/10.1016/j.pedneo.2019.05.004 DOI: https://doi.org/10.1016/j.pedneo.2019.05.004
The neonatal chest X-ray. R. Arthur. PAEDIATRIC RESPIRATORY REVIEWS (2001) 2, 311–323 https://doi.org/10.1053/prrv.2001.0169 DOI: https://doi.org/10.1053/prrv.2001.0169
https://radiologyassistant.nl/assets/lines-and-tubes-inneonates/ a526cc6af59fd3_Umbilic-art4.jpg