Marshall Michelle
Neonatal Netw. 2014 Jul-Aug;33(4):208-16. doi: 10.1891/0730-0832.33.4.208.
Umbilical venous and arterial catheters are routinely used in the care of critically ill patients in neonatal intensive care settings. Providers caring for these vulnerable patients have a role in ensuring that catheter tips remain in an appropriate position. The ideal anatomic tip location for both types of umbilical catheters is reviewed, and the evaluation of this position via radiographic study is discussed. Umbilical venous catheters (UVCs) and umbilical arterial catheters (UACs) have their own different complications. Complications of a malpositioned catheter of either type can be life threatening; therefore, evaluation of catheter tip location is an important skill in the provision of neonatal intensive care.
脐静脉和动脉导管在新生儿重症监护环境中常用于危重症患者的护理。照顾这些脆弱患者的医护人员在确保导管尖端保持在适当位置方面发挥着作用。本文回顾了两种类型脐导管的理想解剖尖端位置,并讨论了通过影像学检查对该位置进行评估的方法。脐静脉导管(UVC)和脐动脉导管(UAC)有各自不同的并发症。任何一种类型的导管位置不当引起的并发症都可能危及生命;因此,评估导管尖端位置是提供新生儿重症监护的一项重要技能。