TY  - CHAP
M1  - Book, Section
TI  - Venous Access: Umbilical Vein Catheterization
A1  - Gomella, Tricia Lacy
A1  - Cunningham, M. Douglas
A1  - Eyal, Fabien G.
A1  - Tuttle, Deborah J.
Y1  - 2013
N1  - 
T2  - Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e
AB  - Immediate,  primarily  postnatal  access  for  intravenous  (IV)  fluids  or  emergency  medications.Central  venous  pressure  monitoring  (if  UVC  passed  through  the  ductus  venosus).Exchange  or  partial  exchange  transfusion  (catheter  tip  should  not  be  in  the  intrahepatic  venous  system  or  the  portal  system).Long-term  central  venous  access  in  extremely  low  birthweight  infants  or  sick  infants  for  administration  of  IV  fluids,  total  parenteral  nutrition,  medications.Delivery  of  blood  and  blood  products.Other  reported  indications  include  general  venous  access  in  difficult  peripheral  IV  access,  administration  of  fluids  and  total  parenteral  nutrition,  infusion  of  hypertonic  solutions  (>12.5%  only  if  catheter  tip  in  inferior  vena  cava),  infusion  of  vasoactive  drugs,  antibiotics,  and  medications.Secondary  aid  in  the  diagnosis  of  cardiovascular  or  other  anomalies  by  an  unusual  course  of  the  umbilical  venous  catheter  or  the  blood  gas  samples  are  suspicious.  Congenital  diaphragmatic  hernia.  Umbilical  venous  catheter  (UVC)  is  left  of  the  midline  because  of  the  anomalous  positioning  of  the  liver  in  the  chest.Persistent  left  superior  vena  cava.  Diagnosed  by  the  path  of  a  UVC.  UVC  catheter  extended  beyond  the  lung  (it  had  entered  the  persistent  left  superior  vena  cava  and  entered  the  left  jugular  vein).Congenital  absence  of  the  ductus  venosus.  This  can  cause  an  abnormal  path  of  UVC.  (Caudal  loop  is  seen  on  radiograph  in  a  UVC.)Infracardiac  total  anomalous  pulmonary  venous  return.  Diagnosed  by  high  partial  pressure  of  oxygen  in  a  UVC  below  the  diaphragm.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1107527602
ER  -