TY - CHAP M1 - Book, Section TI - Arterial Access: Umbilical Artery Catheterization A1 - Gomella, Tricia Lacy A1 - Eyal, Fabien G. A1 - Bany-Mohammed, Fayez Y1 - 2020 N1 - T2 - Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e AB - Frequent or continuous measurements of arterial blood gases.Continuous arterial blood pressure monitoring.Access for exchange transfusion (to withdraw blood).Angiography.Infusion of maintenance solutions.Administration of emergency resuscitation medications and emergency infusion of volume expanders and fluids. (Note: Umbilical vein preferred.)Short-term infusions, parenteral nutrition, and/or medications (controversial). Parenteral nutrition can be given through an umbilical artery catheter (UAC) and 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%. Antibiotics can be given via UAC, but this also is not preferred. Indomethacin, vasopressor medications (epinephrine, dopamine, dobutamine), calcium boluses, and anticonvulsants should not be given via the UAC.Blood products (controversial, emergency only) Blood products can be given via a UAC (less preferred, as this may enhance risk of thrombosis). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1168356266 ER -