Intérêt du refoulement hépatique pour repositionner un cathéter veineux ombilical « sous-hépatique » dans la veine cave inférieure

Pennaforte, Thomas; Klosowski, S; Alexandre, Christian; Ghesquière, J.; Rakza, Thameur; Storme, Laurent

doi:10.1016/j.arcped.2010.03.008

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…Reported rates of successful UVC placement using traditional "blind" techniques range from 50% to 75% (13,14), which is consistent with a recent internal review of our Special Delivery Unit experience at the Children's Hospital of Philadelphia. We have demonstrated that it is possible to salvage malpositioned UVCs and achieve central venous access in most patients using real-time ultrasound guidance.…”

Section: Discussionsupporting

confidence: 81%

“…DeWitt et al (12) underscored the premium placed on umbilical venous access in the perinatal management of CHD—their 2015 report details an institutional commitment to obtaining a UVC in the catheterization laboratory, if bedside attempts had failed. Even when attempted in the first hours of life, UVC insertion fails in 25–50% of newborns (13, 14), most commonly because the catheter tracks into and becomes lodged in the portal veins of the liver (Fig. 2).…”

mentioning

confidence: 99%

“…2). Several techniques have been suggested to improve the success rate of the traditional blind technique, including posterior liver mobilization and dual-catheter techniques (14, 15); however, the rate of failure remains higher than desired. Malpositioned UVCs should not be left in the portal circulation, due to risk of portal vein thrombosis as well as hepatic and gastrointestinal complications (11, 16).…”

mentioning

confidence: 99%

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Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

Kozyak

Fraga

Juliano³

et al. 2022

Pediatric Critical Care Medicine

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Umbilical venous cannulation is the favored approach to perinatal central access worldwide but has a failure rate of 25-50% and the insertion technique has not evolved in decades. Improving the success of this procedure would have broad implications, particularly where peripherally inserted central catheters are not easily obtained and in neonates with congenital heart disease, in whom umbilical access facilitates administration of inotropes and blood products while sparing vessels essential for later cardiac interventions. We sought to use real-time, point-of-care ultrasound to achieve central umbilical venous access in patients for whom conventional, blind placement techniques had failed.

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Section: Discussionsupporting

confidence: 81%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

Kozyak

Fraga

Juliano³

et al. 2022

Pediatric Critical Care Medicine

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“…Observational studies showed that some maneuvers could facilitate UVC passage through the DV. Pennaforte et al ( 35 ) have recommended the manual mobilization of the liver during UVC insertion. Other authors ( 36 ) have suggested placing the infant on the right side during UVC insertion, since this position might reduce the risk of tip progression into the portal venous circulation.…”

Section: Insertion Of the Uvc Including New Technologiesmentioning

confidence: 99%

Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training

et al. 2022

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The umbilical venous catheter (UVC) is one of the most commonly used central lines in neonates. It can be easily inserted soon after birth providing stable intravenous access in infants requiring advanced resuscitation in the delivery room or needing medications, fluids, and parenteral nutrition during the 1st days of life. Resident training is crucial for UVC placement. The use of simulators allows trainees to gain practical experience and confidence in performing the procedure without risks for patients. UVCs are easy to insert, however when the procedure is performed without the use of ultrasound, there is a quite high risk, up to 40%, of non-central position. Ultrasound-guided UVC tip location is a simple and learnable technique and therefore should be widespread among all physicians. The feasibility of targeted training on the use of point-of-care ultrasound (POCUS) for UVC placement in the neonatal intensive care unit (NICU) among neonatal medical staff has been demonstrated. Conversely, UVC-related complications are very common and can sometimes be life-threatening. Despite UVCs being used by neonatologists for over 60 years, there are still no standard guidelines for assessment or monitoring of tip location, securement, management, or dwell time. This review article is an overview of the current knowledge and evidence available in the literature about UVCs. Our aim is to provide precise and updated recommendations on the use of this central line.

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“…Some manoeuvres can enhance the passage of the umbilical vein catheter through the ductus venosus. These manoeuvres include manual mobilisation of the liver during the catheter insertion 19 and lying the neonate on the right side to reduce the risk of catheter progression into the portal vein. 20 If ultrasound machine and expertise is available, compression of the upper abdomen near the portal sinus of the liver to align the umbilical vein and the ductus venosus during catheter insertion can enhance correct placement.…”

Section: Methodsmentioning

confidence: 99%

Umbilical vein catheterisation for the family physician working in primary health care

Govender,

Okonta,

Adeleke

et al. 2024

South African Family Practice

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This is part of a series of articles on vascular access in emergencies. The other two articles were on intra osseous lines and central venous lines. These are critical lifesaving emergency skills for the primary care professional. In this article, we will provide an overview of umbilical vein catheterisation highlighting its importance, the indications, contraindications, techniques, complications and nursing considerations. By familiarising healthcare providers with this procedure, we hope to enhance their knowledge and skills, ultimately leading to improved outcomes in the neonatal population.

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Intérêt du refoulement hépatique pour repositionner un cathéter veineux ombilical « sous-hépatique » dans la veine cave inférieure

Cited by 15 publications

References 14 publications

Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training

Umbilical vein catheterisation for the family physician working in primary health care

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