UMBILICAL VENOUS CATHETERIZATIONS - AUDIT BY THE STUDY-GROUP FOR COMPLICATIONS OF PERINATAL-CARE

被引：34

作者：

SEGUIN, J

FLETCHER, MA

LANDERS, S

BROWN, D

MACPHERSON, T

机构：

[1] University of Kansas Medical Center, Kansas City, Kansas (J.S.), George Washington University Medical Center, Washington, DC (M.A.F.)

[2] Baylor College of Medicine, Houston, Texas (S.L.)

[3] Magee-Women's Hospital, Pittsburgh, Pennsylvania

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 1994年 / 11卷 / 01期

关键词：

D O I：

10.1055/s-2007-994540

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The Study Group for Complications of Peri natal Care, through 13 of its participating neonatal intensive care units, conducted a prospective audit to describe contemporary use of umbilical venous catheters (UVCs) over 3 months in 1951 admissions. Frequency of UVC attempts was 15.5% for all patients and greatest (50%) in patients of 1000 g or less birthweight (BW), with a wide range of frequency by institution and by BW grouping. Institutions with more 1500 g or less BW infants tended to use UVCs more frequently. The most common reason for placement was general intravascular access. A variety of fluids were infused, and in most cases heparin was employed. Mean duration of use was 4.4 days for all patients and longest (5.5 days) in infants in the 1001 to 1500 g BW group. The most common reason for UVC removal was lack of further need. UVCs appear to be used more commonly and for a longer duration than is currently recommended. There is a need for a prospective, randomized trial to assess the risks properly and maximize the benefits of UVC usage.

引用

页码：67 / 70

页数：4

共 25 条

[1]

Diamond L.K., Erythroblastosis foetalis or haemolytic disease oi the newborn, Proc Roy Sor Med, 40, (1947)

[2]

Kitterman J.A., Phibbs R.M., Tooley W.H., Catheterization of umbilical vessels in newborn infants, Pediatr Clin North Am, 17, pp. 895-912, (1970)

[3]

Peto R., Pike M.C., Armitage P., Et al., Design and analysis of randomized clinical trials requiring prolonged observation of each patient, I: introduction and design. Br J Cancer, 34, pp. 585-612, (1970)

[4]

Peto R., Pike M.C., Armitage P., Et al., Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II: analysis and examples, Br J Cancer, 35, pp. 1-39, (1977)

[5]

Matthews D.E., Farewell V.I., Using awl Understanding Medical Statistics, pp. 79-87, (1988)

[6]

Symansky M.R., Fox H.A., Umbilical vessel catheterization: Indications, management, and evaluation of the technique. J Pediatr, 80, pp. 820-826, (1972)

[7]

MacDonald M.G., Umbilical vein catheterization, Atlas of Procedures in Neonatology, pp. 148-153, (1983)

[8]

Kitterman J.A., Umbilical venous catheter vs umbilical artery catheter, (Letter.) Pediatrics, 86, (1990)

[9]

Hack M., Horbar J.D., Malloy M.H., Tyson J.E., Wright E., Wright L., Very low birthweight outcomes of the National Institute of Child Health and Human Development neonatal network, Pediatrics, 87, pp. 587-597, (1991)

[10]

Balagtas R.C., Bell C.E., Edwards L.D., Levin S., Risk of local and systemic infections associated with umbilical vein catheterization: A prospective study in 86 newborn patients, Pediatrics, 48, pp. 359-367, (1971)

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