Umbilical Venous Catheters (UVCs) - Pediatric Radiology and NICU скачать в хорошем качестве

Umbilical Venous Catheters (UVCs) - Pediatric Radiology and NICU

Pediatric Radiology Umbilical Venous Catheters Audience: Medical Students, Interns, Pediatricians, and Radiology Residents Learning Objectives: Recognize the ideal location and suboptimal locations for the tip of an umbilical venous catheter in infants Describe the common complications that can arise from an umbilical venous catheter Why a UVC? Prematurity – vascular access Feeding problems – TPN Caustic medications Transfusions Complications: Too Deep Perforate right atrium Pass through patent foramen ovale Left or right portal vein Vascular injury – hepatic hematoma Hepatic Infarction TPNoma, or other fluid collection Short Thrombophelbitis Hepatic Infarction Summary: Umbilical venous catheters should be positioned at the inferior cavoatrial junction Deep catheters risk cardiac injury Left or right portal vein, or short catheters risk hepatic injury