2022
DOI: 10.1097/pcc.0000000000002919
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Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

Abstract: 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 … Show more

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Cited by 13 publications
(15 citation statements)
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“…PCCM Connections for Readers : There is one other recent technical note about venous access that will be of interest alongside the above report. You may recall that clinicians from three tertiary care units in the United States caring for infants with congenital heart disease described their experience of real-time, ultrasound-guided umbilical vein cannulation–incidentally, a beautifully illustrated account (9).…”
Section: What About Durable Vascular Access In Neonates In the Cardia...mentioning
confidence: 99%
“…PCCM Connections for Readers : There is one other recent technical note about venous access that will be of interest alongside the above report. You may recall that clinicians from three tertiary care units in the United States caring for infants with congenital heart disease described their experience of real-time, ultrasound-guided umbilical vein cannulation–incidentally, a beautifully illustrated account (9).…”
Section: What About Durable Vascular Access In Neonates In the Cardia...mentioning
confidence: 99%
“…This dimension not only includes regulatory aspects but also any training implications that authors consider important to share with the wider community of PCCM . The two examples of this material that have appeared in PCCM are: a report describing determination of death by neurologic criteria in children with suspected or confirmed COVID-19 (12); and an illustrated report about using real-time ultrasound guidance for umbilical venous cannulation in neonates with congenital heart disease in whom “blind” placement of central umbilical venous access has failed (13).…”
Section: Other Clinical Materialsmentioning
confidence: 99%
“…Kozyak BW, Fraga MV, Juliano CE, et al: Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease (9).…”
Section: Pccm Technical Note: Real-time Pocus To Achieve Central Umbi...mentioning
confidence: 99%
“…What do you do when conventional “blind” placement of perinatal central umbilical venous access has failed? In this PCCM Technical Note , clinicians from three tertiary care units in the United States caring for infants with CHD describe their experience with a new real-time point of care ultrasound technique, its implementation, training, and practice (9). The illustrations and video are outstanding.…”
Section: Pccm Technical Note: Real-time Pocus To Achieve Central Umbi...mentioning
confidence: 99%
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