To analyze the risk of cannula sepsis from indwelling umbilical arterial catheters and the indication for prophylactic antibiotics, 137 catheterized neonates with respiratory distress were prospectively placed into either antibiotic-treated (penicillin 50,000U/kg/day and kanamycin 15 mg./kg./day) or non-treated groups. Although bacteria were frequently isolated from blood and catheter tip cultu...

To cite: Li J, Kong JY, James TELH, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215275 DESCRIPTION A female infant weighing 530 g was born at 24 weeks of gestation. Antenatal ultrasounds were unremarkable. She was intubated and given surfactant at birth. Umbilical venous (UV) and arterial (UA) catheters were inserted through the identified separate ...

To study nutrition and metabolism in the fetal pig, a chronic catheterization method was developed that allows blood sampling in arteries and veins, at both the umbilical and uterine sources, in the conscious, unstressed animal. A catheter was inserted in the fetal aorta through a femoral artery, and another one was introduced in the umbilical vein. A catheter was put in a femoral artery of the...

BACKGROUND: The present study was undertaken to examine the feasibility of venous oxygen measurements in the inferior vena cava (IVC) via a catheter through the umbilical vein. This may serve as a proxy for mixed venous oxygenation and the complications of right atrial cannulation can be avoided at the same time. It has the added advantage of not being affected by atrial right-left shunting. RE...

Received May 19, 2001 Abstract We report a premature newborn who developed circulatory collapse 46 hours after birth due to cardiac tamponade. Echocardiography revealed large circumferential pericardial effusion. Pericardiocentesis yielded 12 ml of clear straw-colored fluid with high glucose level of 102.9 mmol/L. The neonate improved after the procedure. Pericardial tamponade is a rare complic...

AIM A new technique allowing placement of umbilical silicone venous catheters (USVC) is described and compared with percutaneous silicone venous catheters (PSVC). METHODS Data were retrospectively recorded for 198 infants with USVC and 141 infants with PSVC. RESULTS Overall rate of complications was low and comparable in both groups: thrombosis 1.2%, catheter-related sepsis 3.5% and mechani...

We report a rare, but serious, complication of a malpositioned umbilical venous catheter in a term male infant who developed laceration, hematoma, and necrosis of liver, ascites, and left-sided obstructive uropathy secondary to extravasation of total parenteral nutrition. Abdominal paracentesis confirmed the presence of parenteral nutrition in the peritoneal cavity. Although, the umbilical veno...

10 children presented pre-hepatic portal vein obstruction during their first 6 years of life. 8 of them had massive esophageal varices, 1 died from acute esophageal hemorrhage. The perinatal history of these childre was studied: All of them had an abnormal birth history and all had been hospitalized during their neonatal period. In 5 of them an umbilical infection had been diagnosed, one had an...

BACKGROUND Abnormal venous connections involving a persistent right umbilical vein are rare. In a minority of cases the liver is entirely bypassed and the condition is associated with multiple congenital malformations. CASE PRESENTATION The described case illustrates a systemic venous drainage that was severely abnormal in a newborn girl with a truncus arteriosus type II congenital heart defe...