RT Book, Section
A1 Gomella, Tricia Lacy
A1 Cunningham, M. Douglas
A1 Eyal, Fabien G.
A1 Tuttle, Deborah J.
SR Print(0)
ID 1107527317
T1 Arterial Access: Umbilical Artery Catheterization
T2 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e
YR 2013
FD 2013
PB McGraw-Hill Education
PP New York, NY
SN 9780071768016
LK accesspediatrics.mhmedical.com/content.aspx?aid=1107527317
RD 2024/04/19
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.