Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old” Lewis and Spirnak (2019).
Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old. Umbilical vein catheterization can provide a safe and effective route for intravenous delivery of medications and fluids during resuscitation. While most commonly used in the delivery room for resuscitation, the umbilical vein presents a viable point of venous access for a trained provider. While peripheral intravenous access is the preferred route of administration of medications in the neonate, providers who care for neonates should be skilled in multiple techniques for IV access, including intraosseous lines, peripheral IVs, central venous catheters, and umbilical vein access. While intraosseous (IO) access has shown to be more quickly attainable than an umbilical vein catheter in a neonate, difficulty placing an IO in a neonate and risk of dislodgement during a code make umbilical vein catheterization an attractive modality for intravenous access by personnel trained in the procedure.
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Lewis, K. and Spirnak, P.W. (2019) Umbilical Vein Catheterization. StatPearls . November 10th. Treasure Island (FL): StatPearls Publishing.