Mehmet Mutlu1, Yakup Aslan1, Sibel Kul2, Gürdal Yılmaz3. 1. a Division of Neonatology , Department of Pediatrics, Karadeniz Technical University , Trabzon , Turkey . 2. b Department of Radiology , Karadeniz Technical University , Trabzon , Turkey , and. 3. c Department of Infectious Diseases and Clinical Microbiology , Karadeniz Technical University , Trabzon , Turkey.
Abstract
OBJECTIVE: Umbilical venous catheter (UVC) insertion is frequently performed in critically ill neonates. Various mild or serious complications of umbilical venous catheterization can be observed associated with this procedure. In this study, newborns that have undergone UVC and developed complications were evaluated. METHODS: This retrospective observational study was carried out in newborns that have undergone UVC and developed complications were evaluated between June 2008 and November 2014. RESULTS: Umbilical venous catheter were inserted to 974 (22.4%) newborn and followed for 7402/catheter days. UVC-related complications developed at 198 patients (20.3%). The most common UVC-related complications were malposition (n = 189), catheter-related bloodstream infection (n = 6) and remnant of catheter in the umbilicus (n = 3), respectively. Remnant of catheter in the umbilicus was removed by pediatric surgeon. Except one patient, all patients were discharged. CONCLUSION: Although UVC is a common and easy vascular access, this process is not without complications. UVC may be inappropriate position because the catheter is inserted by the pediatrician without imaging guidance and may occasionally be associated with complications. Inappropriate positioning of the catheter may observe during the follow-up and maintained care. Therefore, newborns particularly in premature and very low birth-weight newborn should be followed in terms of catheter complications during insertion, following and just after removing of the catheter.
OBJECTIVE: Umbilical venous catheter (UVC) insertion is frequently performed in critically ill neonates. Various mild or serious complications of umbilical venous catheterization can be observed associated with this procedure. In this study, newborns that have undergone UVC and developed complications were evaluated. METHODS: This retrospective observational study was carried out in newborns that have undergone UVC and developed complications were evaluated between June 2008 and November 2014. RESULTS: Umbilical venous catheter were inserted to 974 (22.4%) newborn and followed for 7402/catheter days. UVC-related complications developed at 198 patients (20.3%). The most common UVC-related complications were malposition (n = 189), catheter-related bloodstream infection (n = 6) and remnant of catheter in the umbilicus (n = 3), respectively. Remnant of catheter in the umbilicus was removed by pediatric surgeon. Except one patient, all patients were discharged. CONCLUSION: Although UVC is a common and easy vascular access, this process is not without complications. UVC may be inappropriate position because the catheter is inserted by the pediatrician without imaging guidance and may occasionally be associated with complications. Inappropriate positioning of the catheter may observe during the follow-up and maintained care. Therefore, newborns particularly in premature and very low birth-weight newborn should be followed in terms of catheter complications during insertion, following and just after removing of the catheter.
Authors: Steffi Hess; Martin Poryo; Ralf Böttger; Axel Franz; Daniel Klotz; Knud Linnemann; Torsten Ott; Johannes Pöschl; Michael Schroth; Anja Stein; Elisabeth Ralser; Heiko Reutter; Ulrich H Thome; Christian Wieg; Anne Ehrlich; Christian Ruckes; Stefan Wagenpfeil; Michael Zemlin; Cihan Papan; Arne Simon; Johannes Bay; Sascha Meyer Journal: Wien Med Wochenschr Date: 2022-08-08
Authors: Gerdina H Dubbink-Verheij; Vincent Bekker; Iris C M Pelsma; Erik W van Zwet; Vivianne E H J Smits-Wintjens; Sylke J Steggerda; Arjan B Te Pas; Enrico Lopriore Journal: Front Pediatr Date: 2017-06-20 Impact factor: 3.418