RT Book, Section
A1 Noble, Jeanne A.
A2 Reichman, Eric F.
SR Print(0)
ID 1159798781
T1 Umbilical Vessel Catheterization
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159798781
RD 2024/04/23
AB Umbilical  vessel  catheterization  was  first  described  by  Diamond  in  1947  for  an  exchange  transfusion  in  a  neonate.1  Umbilical  vessel  catheterization  serves  many  important  functions  in  the  ill  neonate  and  is  a  reliable  method  of  obtaining  rapid  vascular  access.2  Umbilical  vessel  catheters  may  be  used  for  fluid  resuscitation,  blood  transfusion,  medication  administration,  frequent  blood  sampling,  and  cardiovascular  monitoring.2-6The  use  of  these  catheters  carries  risk  of  morbidity  and  mortality.  Either  the  umbilical  artery  or  vein  may  be  used  for  vascular  access.  The  umbilical  arteries  begin  to  constrict  immediately  after  birth  and  can  typically  be  cannulated  during  the  first  few  days  of  life.  The  umbilical  vein  can  be  accessed  up  to  7  to  10  days  after  birth  (i.e.,  when  the  umbilical  stump  dries  up).7