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Umbilical Vein Catheter

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1. Umbilical Vein Catheter

Umbilical Vein Catheter Umbilical Vein Catheter Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Umbilical Vein Catheter Umbilical Vein (...) Catheter Aka: Umbilical Vein Catheter , Catheterization of Umbilical Vein II. Background Umbilical Vein Catheterization functions as a in newborns Umbilical vein remains patent for the first week of life (easiest to place the nearer to delivery) Catheter enters umbilical vein and ultimately enters ductus venosus (near liver) and inferior vena cava III. Indications: Emergent access to newborn circulation Acute stabilization Very ill infants (e.g. ) Very low birth weight (<750g) IV. Contraindications

2018 FP Notebook

2. Umbilical catheters as vectors for generalized bacterial infection in premature infants regardless of antibiotic use. (PubMed)

Umbilical catheters as vectors for generalized bacterial infection in premature infants regardless of antibiotic use. Introduction. Umbilical catheterization offers unique vascular access that is only possible in the neonatal setting due to unobstructed umbilical vessels from foetal circulation. With the cut of the umbilical cord, two arteries and a vein are dissected, allowing quick and painless catheterization of the neonate. Unfortunately, keeping the umbilical access sterile is challenging (...) due to its mobility and necrosis of the umbilical stump, which makes it a perfect model for vessel catheter colonization analysis.Aim. The aim of this study was to evaluate bacterial colonization of the umbilical catheter, with a focus on the difference between various sections of the catheter, the duration of catheterization, patient status and gestational age.Methodology. We performed bacterial cultures for 44 umbilical catheters, analysing the superficial and deep parts of the catheter

2019 Journal of Medical Microbiology

3. Estimating Insertion Length of Umbilical Catheters in Newborn Infants

: Cardiff and Vale University Health Board Collaborator: Cardiff University Information provided by (Responsible Party): Mallinath Chakraborty, Cardiff and Vale University Health Board Study Details Study Description Go to Brief Summary: Insertion Length of Umbilical Catheters Umbilical catheters, inserted through the umbilical artery and vein of newborn babies at birth, are crucial in neonatal care of sick babies. They allow delivery of medication and fluids and to provide access for blood sampling (...) Estimating Insertion Length of Umbilical Catheters in Newborn Infants Estimating Insertion Length of Umbilical Catheters in Newborn Infants - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Estimating

2018 Clinical Trials

4. Comparison of methods and formulas used in umbilical venous catheter placement (PubMed)

Comparison of methods and formulas used in umbilical venous catheter placement Central venous access is frequently provided by way of umbilical venous catheter placement in critically ill newborns. This study compared the methods of Dunn, Shukla-Ferrara, and Revised Shukla-Ferrara in determining the appropriate insertion length of umbilical vein catheters.This prospective observational study was carried out in 121 newborns with umbilical venous catheter, group 1 (n=41) used Dunn method, group 2 (...) (n=40) used the Shukla-Ferrara formula, and group 3 used revised Shukla-Ferrara formula (n=40). Catheter tip position was evaluated with an anterior-posterior chest radiograph after insertion of the umbilical venous catheter. The ideal position for the umbilical venous catheter was defined as the catheter tip being visible between the 9th and 10th thoracic vertebrae on an anterior-posterior chest radiograph. The position of the umbilical venous catheter was considered too high if the tip

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2017 Turkish Archives of Pediatrics/Türk Pediatri Arşivi

5. Islet Transplantation Through an Indwelling Catheter in the Umbilical Vein

Islet Transplantation Through an Indwelling Catheter in the Umbilical Vein Islet Transplantation Through an Indwelling Catheter in the Umbilical Vein - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Islet (...) Transplantation Through an Indwelling Catheter in the Umbilical Vein The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02367534 Recruitment Status : Completed First Posted : February 20, 2015 Last Update Posted : February 20, 2015 Sponsor: Fuzhou General Hospital Information provided by (Responsible Party

2015 Clinical Trials

6. Umbilical Venous Catheter Insertion Depth in Neonates

, University of Calgary ClinicalTrials.gov Identifier: Other Study ID Numbers: 16-1303 First Posted: October 20, 2016 Last Update Posted: May 2, 2018 Last Verified: May 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Keywords provided by Amuchou Soraisham, University of Calgary: Catheter Umbilical vein Neonate (...) Umbilical Venous Catheter Insertion Depth in Neonates Umbilical Venous Catheter Insertion Depth in Neonates - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Umbilical Venous Catheter Insertion Depth

2016 Clinical Trials

7. Broken Umbilical Vein Catheter as an Embolus in a Neonate- An Unusual Preventable Complication (PubMed)

Broken Umbilical Vein Catheter as an Embolus in a Neonate- An Unusual Preventable Complication Umbilical vein catheter (UVC) is used in managing critically sick neonates all over the world. It is generally considered to be safe although various complications can arise and are well known. Herein we describe a successful retrieval of a broken and migrated UVC across the heart in a neonate. Pertinent literature regarding rarity of its occurrence and mechanism of occurrence has been touched upon

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2013 Journal of Neonatal Surgery

8. Focal portal vein stenosis in an adolescent potentially related to complicated umbilical catheter insertion in the neonatal period (PubMed)

Focal portal vein stenosis in an adolescent potentially related to complicated umbilical catheter insertion in the neonatal period A 14-year-old girl, with no medical history except for a preterm birth at 7 months, presented with clinical and laboratory signs of pancytopenia. Radiological investigation, including abdominal ultrasound and magnetic resonance imaging revealed a focal irregular main portal vein wall and splenomegaly. Endoscopy showed major esophageal and gastric varices. Definitive (...) diagnosis was made by direct, transhepatic portography revealing a focal stenosis associated with a dissection of the main portal vein. Percutaneous treatment including balloon angioplasty and stent placement resulted in complete re-expansion of the portal vein main branch. Clinical and radiological follow-up over 5 years showed complete disappearance of all clinical signs and normalization of laboratory data and splenic volume.

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2013 Acta Radiologica Short Reports

9. Use of Central Venous Catheters in Neonates - a Framework for Practice

umbilical catheters in low positions especially in the context of hypertonic solutions and vasoactive drugs has to be risk assessed carefully. Outside of emergency use replacing the UVC or alternative access through a percutaneous catheter need to be considered carefully as alternative options. Ascending lumbar vein (ALV) malposition is a relatively common complication of lower-limb placed PICCs but may often go unrecognised [14]. Practitioners inserting CVCs should be familiar with the specific (...) in informing the guidance for improving practice and safety when using central venous catheters. Executive Summary The findings of the Working Group recommend that: • Any clinical deterioration of a baby in whom a central venous catheter is present should raise the question of catheter-related complications, particularly infection, extravasation and tamponade. • All central catheter tips should be positioned outside the cardiac silhouette. • An umbilical venous catheter (UVC) tip should ideally be sited

2018 British Association of Perinatal Medicine

10. Use of Central Venous Catheters in Neonates

umbilical catheters in low positions especially in the context of hypertonic solutions and vasoactive drugs has to be risk assessed carefully. Outside of emergency use replacing the UVC or alternative access through a percutaneous catheter need to be considered carefully as alternative options. Ascending lumbar vein (ALV) malposition is a relatively common complication of lower-limb placed PICCs but may often go unrecognised [14]. Practitioners inserting CVCs should be familiar with the specific (...) the guidance for improving practice and safety when using central venous catheters. Executive Summary The findings of the Working Group recommend that: • Any clinical deterioration of a baby in whom a central venous catheter is present should raise the question of catheter-related complications, particularly infection, extravasation and tamponade. • All central catheter tips should be positioned outside the cardiac silhouette. • An umbilical venous catheter (UVC) tip should ideally be sited at T8-T9

2018 British Association of Perinatal Medicine

11. Umbilical Vein Catheter

Umbilical Vein Catheter Umbilical Vein Catheter Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Umbilical Vein Catheter Umbilical Vein (...) Catheter Aka: Umbilical Vein Catheter , Catheterization of Umbilical Vein II. Background Umbilical Vein Catheterization functions as a in newborns Umbilical vein remains patent for the first week of life (easiest to place the nearer to delivery) Catheter enters umbilical vein and ultimately enters ductus venosus (near liver) and inferior vena cava III. Indications: Emergent access to newborn circulation Acute stabilization Very ill infants (e.g. ) Very low birth weight (<750g) IV. Contraindications

2015 FP Notebook

12. Procedure: Umbilical Vein Catheterization

with the forceps. Identify the larger, single, thin walled umbilical vein (as opposed to the smaller, double, thick walled umbilical arteries). Although I have left my original artwork up, this image borrowed from Dr Andy Tag of is clearly better Gently remove any visible clots at the meatus of the vein. Gently advance the catheter into the vein. In an emergency setting, only advance to the minimum depth required to get free flowing blood, or approximately 3-5cm. Aspirate blood, then flush the line. Tighten (...) Procedure: Umbilical Vein Catheterization Procedure: Umbilical Vein Catheterization - First10EM Search Procedure: Umbilical Vein Catheterization by | Published - Updated | Case You find yourself leading a code pink in L&D, with no pediatricians to be found. You have already moved efficiently through the , but despite clearing the airway, bagging, and chest compressions, the baby is still flat with a HR of 50. It is time for medications, but your experienced neonatal nurses have not been able

2015 First10EM

13. The use of indwelling catheters in the uterine and umbilical veins of sheep for a description of fetal acid-base balance and oxygenation. (PubMed)

The use of indwelling catheters in the uterine and umbilical veins of sheep for a description of fetal acid-base balance and oxygenation. 5371158 1970 04 02 2018 11 13 0044-0086 42 3-4 1969 Dec-1970 Feb The Yale journal of biology and medicine Yale J Biol Med The use of indwelling catheters in the uterine and umbilical veins of sheep for a description of fetal acid-base balance and oxygenation. 154-65 Meschia G G Makowski E L EL Battaglia F C FC eng Journal Article United States Yale J Biol Med (...) 0417414 0044-0086 0 Bicarbonates 142M471B3J Carbon Dioxide S88TT14065 Oxygen IM Acid-Base Equilibrium Animals Bicarbonates blood Blood Chemical Analysis Blood Gas Analysis Carbon Dioxide blood Catheterization Female Hydrogen-Ion Concentration Methods Oxygen blood Pregnancy Pregnancy, Animal Sheep Umbilical Veins Uterus Veins 1969 12 1 1969 12 1 0 1 1969 12 1 0 0 ppublish 5371158 PMC2593490 J Appl Physiol. 1968 Feb;24(2):135-41 5637674 Q J Exp Physiol Cogn Med Sci. 1960 Jan;45:60-71 13801427 Pediatr

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1969 The Yale journal of biology and medicine

14. Catheterization, Umbilical Vein

resuscitation. Alternative uses of the umbilical vein may include exchange transfusions and . [ ] Previous Next: Contraindications Absolute contraindications for umbilical vein catheterization include the following: Previous References Butler-O'Hara M, Buzzard CJ, Reubens L, McDermott MP, DiGrazio W, D'Angio CT. A randomized trial comparing long-term and short-term use of umbilical venous catheters in premature infants with birth weights of less than 1251 grams. Pediatrics . 2006 Jul. 118(1):e25-35. . Murki (...) . 2003 Jun. 162(6):406-9. . Sakha SH, Rafeey M, Tarzamani MK. Portal venous thrombosis after umbilical vein catheterization. Indian J Gastroenterology . 2007. 26:283-4. . Hermansen MC, Hermansen MG. Intravascular catheter complications in the neonatal intensive care unit. Clin Perinatol . 2005 Mar. 32(1):141-56, vii. . Onal EE, Saygili A, Koc E, Turkyilmaz C, Okumus N, Atalay Y. Cardiac tamponade in a newborn because of umbilical venous catheterization: is correct position safe?. Paediatr Anaesth

2014 eMedicine.com

15. Antimicrobial Efficacy and Safety of a Novel Gas Plasma-Activated Catheter Lock Solution. (PubMed)

aeruginosa, and Candida albicans in mature biofilms were reduced by 6 to 8 orders of magnitude with a PAD lock for 60 min. Subsequent 24-h incubation of PAD-treated samples resulted in no detectable regrowth of viable bacteria or fungi. As a comparison, the use of a minocycline-EDTA-ethanol lock solution for 60 min led to regrowth of bacteria and fungi, up to 107 to 109 CFU/ml, in 24 h. The PAD lock solution had minimal impact on human umbilical vein endothelial cell viability, whereas the minocycline (...) Antimicrobial Efficacy and Safety of a Novel Gas Plasma-Activated Catheter Lock Solution. Antimicrobial lock solutions are important for prevention of microbial colonization and infection of long-term central venous catheters. We investigated the efficacy and safety of a novel antibiotic-free lock solution formed from gas plasma-activated disinfectant (PAD). Using a luminal biofilm model, viable cells of methicillin-resistant Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas

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2018 Antimicrobial Agents and Chemotherapy

16. Umbilical lines in a sick, extremely low birth weight infant: clinical quandary of X-ray images (PubMed)

, Singapore. eng Case Reports Journal Article 2016 06 22 England BMJ Case Rep 101526291 1757-790X IM Catheterization, Peripheral adverse effects instrumentation methods Catheters, Indwelling Female Humans Infant, Extremely Low Birth Weight Infant, Newborn Intensive Care, Neonatal Practice Guidelines as Topic Radiography Umbilical Veins diagnostic imaging physiology 2016 6 24 6 0 2016 6 24 6 0 2017 5 11 6 0 epublish 27335361 bcr-2016-215275 10.1136/bcr-2016-215275 PMC4932333 Obstet Gynecol. 2000 Mar;95(3 (...) Umbilical lines in a sick, extremely low birth weight infant: clinical quandary of X-ray images 27335361 2017 05 10 2018 11 13 1757-790X 2016 2016 Jun 22 BMJ case reports BMJ Case Rep Umbilical lines in a sick, extremely low birth weight infant: clinical quandary of X-ray images. 10.1136/bcr-2016-215275 bcr2016215275 Li Jiahui J Duke - NUS Medical School, Singapore. Kong Juin Yee JY Duke - NUS Medical School, Singapore NUS YLL School of Medicine, Singapore Department of Neonatology

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2016 BMJ case reports

17. Central venous catheter-associated complications in infants with single ventricle: Comparison of umbilical and femoral venous access routes. (PubMed)

Central venous catheter-associated complications in infants with single ventricle: Comparison of umbilical and femoral venous access routes. Among infants with single-ventricle heart disease who require surgical palliation, central venous access is routinely obtained via the umbilical or femoral veins. Both routes are associated with potential complications, including thrombosis. We sought to analyze the clinical outcomes of patients with umbilical venous catheter vs. femoral central venous (...) -documented thrombus at the inferior vena caval-right atrial junction did not differ significantly between the groups. Patients with non-tunneled femoral central venous catheters for ≥14 days had a higher prevalence of thrombosis (52%) than those with femoral central venous catheters for <14 days (13%) but no difference in the prevalence of iliofemoral vein occlusion.In this population, initial placement of an umbilical venous catheter rather than a femoral venous catheter resulted in significantly lower

2012 Pediatric Critical Care Medicine

18. Ultrasound-Guided Subclavian Vein Cannulation in Low Birth Weight Neonates. (PubMed)

Ultrasound-Guided Subclavian Vein Cannulation in Low Birth Weight Neonates. Central venous access in critically ill, small infants remains technically challenging even in experienced hands. Several vascular accesses exist, but the subclavian vein is often preferred for central venous catheter insertion in infants where abdominal malformation and/or closure of the vein preclude the use of umbilical venous catheters, as catheterization of the subclavian vein is easier in very short necks than (...) the internal jugular vein for age-related anatomical reasons. The subclavian vein approach is yet relatively undescribed in low birth weight infants (i.e., < 2,500 g), and this study aims to explore the feasibility of this technique in very small infants.Retrospective data collection of prospectively registered data on central venous catheter insertion in infants.Neonatal ICU and PICU at a university hospital.One hundred and five newborn children hospitalized in at the ICU.An ultrasound-guided

2017 Pediatric Critical Care Medicine

19. Supraclavicular Approach to Ultrasound-Guided Brachiocephalic Vein Cannulation in Children and Neonates (PubMed)

of the subclavian vein (SCV) has been described in children and neonates. This article gives an overview of the current use of US for achieving central venous catheter placement in the SCV or the brachiocephalic vein (BCV) in neonates. More than 1,250 catheters have been reported inserted in children and neonates for a cumulated success rate of 98.4% and the complication rate is reported to be low. The technical aspects of various approaches are discussed, and we offer our recommendation of an US-guided (...) technique for SCV and BCV cannulation based on our experience in a large NICU setting. Although the cannulation the SCV or BCV does not substitute the use of peripherally inserted central catheters or umbilical venous central catheters in neonates, it is a feasible route in very small children who are in need of a large caliber central venous access.

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2017 Frontiers in pediatrics

20. Complications of umbilical vein catherisation. Case Report (PubMed)

Complications of umbilical vein catherisation. Case Report Umbilical vein catheterization is a relatively easy procedure performed routinely on the neonate intensive care units. It provides a fast central vein access, but some complications have been described in the literature.We presented a case report of a premature infant (34 hbd) with extravasation of the parenteral nutrition and drugs to the liver after umbilical vein catheterization. Fever and increasing biochemical markers of infection (...) were observed. USG revealed a heterogenic, well-limited space of 4 cm in diameter, located in the right lobe of the liver. CT excluded liver abscess. Considering neoplastic process or incorrect location of the catheter of the central vein, we performed liver biopsy.Cytological and biochemical analysis of the aspirated fluid revealed extravasation of parenteral nutrition to the liver. Our case confirms the necessity of controlling a proper location of the central catheter right after its insertion

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2011 Polish Journal of Radiology

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