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Related Experiment Videos

Umbilical vessel catheterization; the immediate risks with the venous route.

F F Rubaltelli, V Zanardo, O S Saia

    Padiatrie Und Padologie
    |January 1, 1978
    PubMed
    Summary

    Umbilical vein catheterization in critically ill newborns can cause cardiac arrest or bradycardia. While cardiac massage can restore heart activity, survival rates are low, highlighting the need for careful precautions.

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    Area of Science:

    • Neonatal Medicine
    • Pediatric Cardiology
    • Critical Care

    Background:

    • Umbilical vein catheterization (UVC) is a common procedure in neonates.
    • UVC is used for vascular access in critically ill newborns requiring interventions.
    • Potential complications of UVC include cardiovascular events.

    Purpose of the Study:

    • To report cases of cardiac arrest or bradycardia during UVC in neonates.
    • To assess the outcomes of cardiovascular events during UVC.
    • To emphasize the risks and necessary precautions for UVC in high-risk newborns.

    Main Methods:

    • Retrospective review of seven cases with cardiac events during UVC.
    • Analysis of indications for UVC: failed umbilical artery catheterization, exchange transfusions, central venous pressure monitoring.

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  • Documentation of interventions (cardiac massage) and patient outcomes.

    • Main Results:

    • Seven cases of cardiac arrest or bradycardia occurred in 308 UVC procedures.
    • Indications included respiratory distress, post-asphyxia syndrome, hyperbilirubinemia, sepsis, and shock.
    • Cardiac massage temporarily restored heart activity in all cases; only three infants survived, two with normal follow-up.

    Conclusions:

    • UVC in severely ill newborns carries significant risks of cardiac complications.
    • Prompt intervention with cardiac massage may temporarily stabilize patients.
    • Careful consideration of risks and adherence to precautions are crucial for UVC procedures in neonates.