RT Book, Section
A1 Gomella, Tricia Lacy
A1 Eyal, Fabien G.
A1 Bany-Mohammed, Fayez
SR Print(0)
ID 1168356266
T1 Arterial Access: Umbilical Artery Catheterization
T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259644818
LK accesspediatrics.mhmedical.com/content.aspx?aid=1168356266
RD 2024/04/16
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).