FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 359:e18 October 9, 2008 Number 15 Next

	Since this article has no abstract, below are the first 100 words from the narration of this Video in Clinical Medicine and its chapter headings.

 

Video Download Options PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

View Video The placement of umbilical catheters is an essential technique for the treatment of many newborns in unstable condition. This video will demonstrate the placement of catheters in the umbilical vein and the umbilical artery. Careful preparation, sterile technique, and attention to detail are instrumental in successful catheter placement. We will demonstrate the regional anatomy of the umbilicus, indications and contraindications for the insertion of an umbilical catheter, the recommended technique for catheter placement in both the umbilical artery and vein, selected complications associated with the procedure and suggestions for how to avoid them, and appropriate aftercare of the catheter. . . . . Overview Indications Contraindications Umbilical Vessel Anatomy Depth of Insertion Equipment Preparation Procedure: UAC Troubleshooting Nonemergent UVC Troubleshooting Emergent UVC Aftercare Complications Long-Term Issues Credits

 
References

1. MacDonald MG. Umbilical artery catheterization. In: MacDonald MG, Ramasethu J, eds. Atlas of procedures in neonatology. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002:152-70.
2. Idem. Umbilical vein catheterization. In: MacDonald MG, Ramasethu J, eds. Atlas of procedures in neonatology. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002:174-82.
3. Barrington KJ. Umbilical artery catheters in the newborn: effects of position of the catheter tip. Oxford, England: Cochrane Collaboration, 1998. (Accessed September 15, 2008, at http://www.nichd.nih.gov/cochrane/Barring1/Barrington.htm.)
4. Idem. Umbilical artery catheters in the newborn: effects of catheter design (end vs side hole). Oxford, England: Cochrane Collaboration, 1998. (Accessed September 15, 2008, at http://www.nichd.nih.gov/cochrane/Barring2/Barrington.htm.)
5. Idem. Umbilical artery catheters in the newborn: effects of heparin. Oxford, England: Cochrane Collaboration, 1998. (Accessed September 15, 2008, at http://www.cochrane.org/reviews/en/ab000507.html.)