TY - CHAP M1 - Book, Section TI - Arterial Access: Umbilical Artery Catheterization A1 - Gomella, Tricia Lacy A1 - Cunningham, M. Douglas A1 - Eyal, Fabien G. A1 - Tuttle, Deborah J. PY - 2013 T2 - Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e AB - Frequent or continuous measurements of arterial blood gases.Continuous arterial blood pressure monitoring.Access for exchange transfusion (to withdraw blood).Angiography.Administration of emergency resuscitation medications and fluids. Note: Umbilical vein preferred.Infusion of maintenance solutions.Short-term infusion/emergency infusion of volume expanders, parenteral nutrition, and/or medications (controversial). Parenteral nutrition can be given through a UAC, a route that has been used in some centers, especially in very low birthweight (VLBW) infants; however, the umbilical artery is not preferred and should be used with caution. The maximum dextrose concentration that can be administered using this method is 15%. If necessary, antibiotics can be given via UAC, but this also is not a preferred method. Indomethacin, vasopressor medications (epinephrine, dopamine, dobutamine), calcium boluses, and anticonvulsants should not be given via the UAC (umbilical venous catheter [UVC], central venous line preferred).Blood products (controversial, emergency only). Blood products can be given via a UAC, but UVC or peripheral/central access preferred. UAC is less preferred, as this may enhance the risk of thrombosis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1107527317 ER -