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Experience With Percutaneous Indwelling Peripheral Arterial Catheterization in Neonates

Sidney N. Randel, MD; Benjamin H. L. Tsang, MD; Jen-Tien Wung, MD; John M. Driscoll Jr, MD; L. Stanley James, MD
Am J Dis Child. 1987;141(8):848-851. doi:10.1001/archpedi.1987.04460080034022.
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• We present an experience with indwelling peripheral arterial catheters in preterm and term neonates. During a 12-month interval, 158 peripheral arterial lines were inserted In 115 infants. Eightyeight infants required a single line while 27 infants required more than one line. Ninety-one catheters (57.6%) were electively removed, and 67 (42.4%) had to be discontinued prematurely. Vessels used included 110 radial arteries (69.6%), 27 posterior tibial arteries (17.1%), and 21 temporal arteries (13.3%). There were only two major complications (1.27%), both related to infections. The technique is described in detail. In our experience, with appropriate precaution, peripheral arterial cannulation has been a safe and reliable alternative to umbilical arterial catheterization.

(AJDC 1987;141:848-851)

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