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Vascular perforation of umbilical venous catheter and awaiting it to be shallow

Taniguchi, Akinobu Hayakawa, Masahiro Sato, Yoshiaki 名古屋大学

2023.08

概要

Umbilical arterial and venous catheter placement have become the standard of care in the
neonatal intensive care unit.1 Because they provide safe vascular access immediately after birth in
high-risk newborns, umbilical venous catheters are commonly used in the neonatal intensive care
unit. It serves as an immediate postnatal access for intravenous fluids or emergency medications,
as well as for the administration of hypertonic fluids such as total parenteral nutrition. The use
of umbilical venous catheters has been associated with multiple complications, including catheterassociated bloodstream infections, venous thrombosis, and peritoneal extravasation.2-4 In this report,
we describe one way to respond when an umbilical venous catheter perforates a blood vessel. ...

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参考文献

1 Nash P. Umbilical catheters, placement, and complication management. J Infus Nurs. 2006;29(6):346–352.

doi:10.1097/00129804-200611000-00005.

2 Gordon A, Greenhalgh M, Mcguire W. Early planned removal of umbilical venous catheters to prevent

infection in newborn infants. Cochrane Database Syst Rev. 2017;10(10):CD012142. doi:10.1002/14651858.

CD012142.pub2.

3 Park CK, Paes BA, Nagel K, Chan AK, Murthy P; Thrombosis and Hemostasis in Newborns (THiN)

Group. Neonatal central venous catheter thrombosis: Diagnosis, management and outcome. Blood Coagul

Fibrinolysis. 2014;25(2):97–106. doi:10.1097/MBC.0b013e328364f9b0.

4 Goh SSM, Kan SY, Bharadwaj S, Poon WB. A review of umbilical venous catheter-related complications

at a tertiary neonatal unit in Singapore. Singapore Med J. 2021;62(1):29–33. doi:10.11622/smedj.2019140.

5 Kanto WP Jr, Parrish RA Jr. Perforation of the Peritoneum and Intra-abdominal Hemorrhage: A Complication of Umbilical Vein Catheterizations. Am J Dis Child. 1977;131(10):1102–1103. doi:10.1001/

archpedi.1977.02120230048008.

6 Xu LY, Chen DJ, Wang SS, Chen L, Qi F, Liu MM. Management of venous perforation during central venous catheterization in hemodialysis patients: Three case reports. Medicine (Baltimore). 2019;98(25):e16182.

doi:10.1097/MD.0000000000016182.

7 D’Andrea V, Prontera G, Rubortone SA, et al. Umbilical Venous Catheter Update: A Narrative Review

Including Ultrasound and Training. Front Pediatr. 2022;9:774705. doi:10.3389/fped.2021.774705.

References End

Nagoya J. Med. Sci. 85. 635–638, 2023

638

doi:10.18999/nagjms.85.3.635

...

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