Umbilical Vascular Catheterization

Placement of umbilical catheters is an important skill for the treatment of critically ill neonates. Catheters can provide vascular access for resuscitation, monitoring, fluid administration, blood transfusion, and parenteral nutrition. This video demonstrates the placement of both umbilical-artery and umbilical-vein catheters. Placement of umbilical catheters is an important skill for the treatment of critically ill neonates. This video demonstrates the placement of both umbilical-artery and umbilical-vein catheters. The placement of umbilical catheters is an essential technique for the treatment of many newborns in unstable condition. This video will demonstrate the placement of catheters in the umbilical vein and the umbilical artery. Careful preparation, sterile technique, and attention to detail are instrumental in successful catheter placement. We will demonstrate the regional anatomy of the umbilicus, indications and contraindications for the insertion of an umbilical catheter, the recommended technique for catheter placement in both the umbilical artery and vein, selected complications associated with the procedure and suggestions for how to avoid them, and appropriate aftercare of the catheter. . . . . Overview Indications Contraindications Umbilical Vessel Anatomy Depth of Insertion Equipment Preparation Procedure: UAC Troubleshooting Nonemergent UVC Troubleshooting Emergent UVC Aftercare Complications Long-Term Issues Credits