Document Detail


Umbilical arterial and venous catheters: placement, use, and complications.
MedLine Citation:
PMID:  9832755     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Umbilical catheters have been used in NICUs for drawing blood samples, measuring blood pressure, and administering fluid and medications for more than 25 years. Complications associated with umbilical catheters include thrombosis; embolism; vasospasm; vessel perforation; hemorrhage; infection; gastrointestinal, renal, and limb tissue damage; hepatic necrosis; hydrothorax; cardiac arrhythmias; pericardial effusion and tamponade; and erosion of the atrium and ventricle. A review of the literature provides conflicting accounts of the superiority of high versus low placement of umbilical arterial catheters. This article reviews the current literature regarding use of umbilical catheters in neonates. It also highlights the policy developed for the authors' NICU, a 34-bed tertiary care unit of a children's hospital, and analyzes complications associated with umbilical catheter use for 1 year in that unit.
Authors:
C Green; M D Yohannan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neonatal network : NN     Volume:  17     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1999-04-29     Completed Date:  1999-04-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  23-8     Citation Subset:  N    
Affiliation:
Newborn Intensive Care Unit, Children's Medical Center, Dayton, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Peripheral / adverse effects*,  methods*,  nursing
Humans
Infant, Newborn
Intensive Care, Neonatal / methods
Neonatal Nursing / methods
Organizational Policy
Practice Guidelines as Topic
Umbilical Arteries*
Umbilical Veins*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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