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March 1971, Vol 121, No. 3 >
Article | March 1971

Umbilical Vessel Catheterization FREE

Edmund A. Egan, MD; Donald V. Eitzman, MD
[+] Author Affiliations

Received for publication May 15, 1970.

Reprint requests to Department of Pediatrics, University of Florida College of Medicine, Gainesville, Fla 32601 (Dr. Eitzman).


Am J Dis Child. 1971;121(3):213-218. doi:10.1001/archpedi.1971.02100140079005.
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Umbilical vessel catheterization was performed in 259 infants in a 3½ -year period, primarily because of respiratory distress. There were 16 clinical complications and 12 autopsy complications in this group of infants. The total complication rate was 9.6%, and the major necropsy complication rate was 4.6%. The most severe of the necropsy complications was thrombosis. In two instances this complication was the possible cause of death. In both cases the infants had severe hyaline membrane disease and required artificial ventilation with high oxygen concentrations. The risk associated with umbilical vessel catheterization is significant, and the use of this technique should be carefully assessed.

REFERENCES

1 +
Koch G, Wendel H:  Comparison of pH, carbon dioxide tension, standard bicarbonate and oxygen tension in capillary blood and in arterial blood during the neonatal period . Acta Paediat Scand 56:10-16, 1967;.
2 +
Ainsworth RW, et al:  Umbilical artery for transfusion . Lancet 1:445, 1963;.
3 +
James LS:  Complications arising from catheterization of umbilical vessels , Report of the 59th Conference of Pediatrac Research . Columbus, Ohio, Ross Laboratories, 1969;, pp 36-40.
4 +
Cochran WD, Davis HT, Smith CA:  Advantages and complications of umibilical artery catheterization in the newborn . Pediatrics 42:769-777, 1968;.
5 +
Gupta JM, Roberton NRC, Wigglesworth JS:  Umbilical artery catheterization in the newborn . Arch Dis Child 43:382-387, 1968;.
6 +
Erkan V, Blankenship W, Stahlman MT:  The complications of chronic umbilical vessel catheterization , abstracted. Pediat Res 2:317, 1968;.
7 +
Scott JM:  Iatrogenic lesions in babies following umbilical vein catheterization . Arch Dis Child 40:426-429, 1965;.
8 +
Wigger HJ, Bransilver BR, Blanc WA:  Thromboses due to catheterization in infants and children . J Pediat 76:1-11, 1970;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Koch G, Wendel H:  Comparison of pH, carbon dioxide tension, standard bicarbonate and oxygen tension in capillary blood and in arterial blood during the neonatal period . Acta Paediat Scand 56:10-16, 1967;.
2 +
Ainsworth RW, et al:  Umbilical artery for transfusion . Lancet 1:445, 1963;.
3 +
James LS:  Complications arising from catheterization of umbilical vessels , Report of the 59th Conference of Pediatrac Research . Columbus, Ohio, Ross Laboratories, 1969;, pp 36-40.
4 +
Cochran WD, Davis HT, Smith CA:  Advantages and complications of umibilical artery catheterization in the newborn . Pediatrics 42:769-777, 1968;.
5 +
Gupta JM, Roberton NRC, Wigglesworth JS:  Umbilical artery catheterization in the newborn . Arch Dis Child 43:382-387, 1968;.
6 +
Erkan V, Blankenship W, Stahlman MT:  The complications of chronic umbilical vessel catheterization , abstracted. Pediat Res 2:317, 1968;.
7 +
Scott JM:  Iatrogenic lesions in babies following umbilical vein catheterization . Arch Dis Child 40:426-429, 1965;.
8 +
Wigger HJ, Bransilver BR, Blanc WA:  Thromboses due to catheterization in infants and children . J Pediat 76:1-11, 1970;.

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