Complications of Umbilical Vessel Catheterization: Peritoneal Perforation

PEDIATRICS ◽  
1969 ◽  
Vol 44 (6) ◽  
pp. 1028-1030
Author(s):  
G. Van Leeuwen ◽  
M. Patney
Keyword(s):  
Umbilical Artery ◽  
Community Hospital ◽  
Umbilical Vein ◽  
Potential Danger ◽  
Umbilical Vessel ◽  
Reticular Pattern ◽  
Vein Catheter ◽  
Peritoneal Perforation ◽  
Umbilical Artery Catheterization ◽  
Umbilical Vein Catheter

Umbilical artery catheterization has been performed for approximately 6 years for diagnostic and investigative studies, and more recently for intravascular fluid therapy. We recently encountered a complication—perforation of the peritoneum—which illustrates another potential danger of this procedure. CASE REPORT Baby Y., a 1,590 gm female infant, was delivered in a community hospital. She was delivered with membranes intact but aspirated amniotic fluid containing meconium when the membranes were removed. At 20 minutes of age examination revealed marked intercostal retractions, a respiratory rate of 60 per minute, and cyanosis. Roentgenograms of the chest showed a fine reticular pattern. An umbilical vein catheter was inserted, but blood could not be aspirated.

Contamination of Umbilical Vessel Catheters: Encouraging Information

PEDIATRICS ◽  
1972 ◽  
Vol 49 (3) ◽  
pp. 470-471
Author(s):  
William F. Powers ◽  
William H. Tooley
Keyword(s):  
Bacterial Contamination ◽  
Umbilical Artery ◽  
Umbilical Vein ◽  
Bacterial Colonization ◽  
Significant Risk ◽  
The Other ◽  
Umbilical Vessel ◽  
Other Hand ◽  
Umbilical Artery Catheterization ◽  
Recent Editorial

In his recent editorial, Dr. Cook1 mentions bacterial contamination as one of the complications of umbilical artery catheterization, and refers to a report by Krauss, et al.2 who grew bacteria from 6 of 11 (55%) umbilical artery catheters. Balagtas, et al.3 have also published similar findings with umbilical vein catheters, 52% of which had bacterial colonization on removal. These reports stress the significant risk of generalized infection with umbilical vessel catheters. On the other hand, Casalino and Lipsitz4 report a 5% incidence of bacterial contamination.

UMBILICAL VESSEL ANGIOCARDIOGRAPHY IN THE NEWBORN INFANT

PEDIATRICS ◽  
1963 ◽  
Vol 31 (6) ◽  
pp. 946-951
Author(s):  
Samuel O. Sapin ◽  
Leonard M. Linde ◽  
George C. Emmanouilides
Keyword(s):  
Newborn Infant ◽  
Umbilical Artery ◽  
Umbilical Vein ◽  
Newborn Infants ◽  
Umbilical Vessel ◽  
Accurate Interpretation ◽  
Sick Newborn

Angiocardiography from an umbilical vessel approach was performed in 10 critically sick newborn infants. The umbilical vein route was successfully employed up to the eighth day of life, while the umbilical artery was safely used as late as age 5 days. This approach has advantages over other methods of catheterization and angiocardiography. Angiocardiographic quality was satisfactory for accurate interpretation.

An Unusual Complication of Umbilical Artery Catheterization

PEDIATRICS ◽  
1972 ◽  
Vol 49 (2) ◽  
pp. 281-283
Author(s):  
Donald A. Lackey ◽  
Paddy Taber
Keyword(s):  
Umbilical Artery ◽  
Clinical Course ◽  
Unusual Complication ◽  
Umbilical Vessel ◽  
Umbilical Artery Catheterization

Attention is called to the clinical course of a neonate who experienced the accidental retro-grade loss of part of a polyvinyl catheter into the aorta. This had occurred after treatment via an umbilical artery had been completed, and attempts to remove the catheter had resulted in its breaking. The management of this problem is presented, and the various complications of umbilical vessel cathethenization are reviewed.

scholarly journals 582. Impact of Central Line Bundle for Prevention of Umbilical Vein Catheter-Related Bloodstream Infections in a Neonatal Intensive Care Unit

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S275-S275
Author(s):  
İlker devrim ◽  
Ferit Kulalı ◽  
İlknur Çağlar ◽  
Yeliz Oruc ◽  
Nevbahar Demiray ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Umbilical Vein ◽  
Bloodstream Infections ◽  
Central Line ◽  
Neonatal Intensive Care Units ◽  
Vein Catheter ◽  
Single Use ◽  
Umbilical Vein Catheter ◽  
Central Line Bundle

Abstract Background Umbilical vein catheters (UVC) are one of the most common types of vascular access device in the neonatal intensive care units. Central line-associated bloodstream infections were reported to be in the first place of healthcare-associated infections in preterm infants. In this study, we aimed to evaluate the effectiveness of the bundle applications in the prevention of umbilical vein catheter-associated bloodstream infections in neonates including premature infants. Methods This 40 months cross-sectional study included two periods, including pre-bundle period (from August 1, 2015 to March 31, 2017) and bundle period (April 1, 2017 to November 30, 2018). The umbilical vein catheter-related bloodstream infections, catheter line days, number of the patients were recorded and compared between the prebundle and bundle periods. Bundle steps were defined as education-training-assignment, evaluation of daily catheter indications, hand hygiene and aseptic technique while insertion, maximal sterile barrier precautions, closure of the catheter area with transparent semi-permeable membrane, using needless connectors in stead of 3-way stop-cocks, and single-use prefilled saline syringes for flushing. Results During the whole study period total umbilical vein catheter days were 2,228 days. During the prebundle period there was 10 and in the bundle period there was 2 umbilical vein catheter-related bloodstream infections (Table 1). While umbilical vein-associated bloodstream infection rate was 8.9 per 1,000 catheter days in the pre-bundle period, and significantly decreased to 1.79 in the bundle period (P < 0.05). After the introduction of bundle applications, it was observed that the rate of infection decreased by 68% (P < 0.05) Conclusion Our study showed that implementation of central line bundle including needless connectors and single-use prefilled syringes for umbilical vein-related bloodstream infections was effective for the prevention of catheter-related bloodstream infections in neonatal intensive care units. Disclosures All authors: No reported disclosures.

Complications of parenteral nutrition via an umbilical vein catheter

1993 ◽  
Vol 152 (7) ◽  
pp. 624-624 ◽  
Author(s):  
A. R. Rejjal ◽  
M. O. Galal ◽  
H. M. Nazer ◽  
A. A. Karim ◽  
Y. Abu Osba
Keyword(s):  
Parenteral Nutrition ◽  
Umbilical Vein ◽  
Vein Catheter ◽  
Umbilical Vein Catheter

scholarly journals Vascular dimorphism ensured by regulated proteoglycan dynamics favors rapid umbilical artery closure at birth

2020 ◽  
Author(s):  
Sumeda Nandadasa ◽  
Jason M. Szafron ◽  
Vai Pathak ◽  
Sae-Il Murtada ◽  
Caroline M. Kraft ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Blood Loss ◽  
Computational Analysis ◽  
Umbilical Artery ◽  
Umbilical Vein ◽  
Mammalian Evolution ◽  
Vascular Responses ◽  
Umbilical Vessel ◽  
Arterial Lumen ◽  
Selection Step

AbstractThe umbilical artery lumen occludes rapidly at birth, preventing blood loss, whereas the umbilical vein remains patent, providing the newborn with a placental infusion. Here, we identify differential arterial-venous proteoglycan dynamics as a determinant of these contrasting vascular responses. We show that the umbilical artery, unlike the vein, has an inner layer enriched in the hydrated proteoglycan aggrecan, external to which lie contraction-primed smooth muscle cells (SMC). At birth, SMC contraction drives inner layer buckling and centripetal displacement to occlude the arterial lumen, a mechanism elicited by biomechanical and computational analysis. Vascular dimorphism arises from spatially regulated proteoglycan expression and breakdown in umbilical vessels. Mice lacking aggrecan or the metalloprotease ADAMTS1, which degrades proteoglycans, demonstrated their opposing roles in umbilical cord arterial-venous dimorphism and contrasting effects on SMC differentiation. Umbilical vessel dimorphism is conserved in mammals, suggesting that their differential proteoglycan dynamics were a positive selection step in mammalian evolution.

scholarly journals Broken Umbilical Vein Catheter as an Embolus in a Neonate- An Unusual Preventable Complication

2013 ◽  
Vol 2 (4) ◽  
pp. 45
Author(s):  
Anjan Kumar Dhua ◽  
Bijender Singh ◽  
Dilip Kumar ◽  
Neeraj Awasthy
Keyword(s):  
Umbilical Vein ◽  
Pertinent Literature ◽  
Vein Catheter ◽  
The World ◽  
Successful Retrieval ◽  
Umbilical Vein Catheter ◽  
Preventable Complication

Umbilical vein catheter (UVC) is used in managing critically sick neonates all over the world. It is generally considered to be safe although various complications can arise and are well known. Herein we describe a successful retrieval of a broken and migrated UVC across the heart in a neonate. Pertinent literature regarding rarity of its occurrence and mechanism of occurrence has been touched upon to prevent such untoward complications.

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