4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Follow Us : Follow On Facebook Follow On Twitter Follow On Youtube
FIND DIAGNOSIS
FIND DIAGNOSIS
Find Diagnosis
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
VASCULAR ACCESS IN PEDIATRICS
VASCULAR ACCESS IN PEDIATRICS
Umbilical Vein and Arterial Catheterization and Venous Cutdown Sites
Umbilical Vein and Arterial Catheterization and Venous Cutdown Sites
Dr Sunita Goel
Lecturer in Anaesthesiology
BJ Wadia Childrens hospital


Umbilical vein catheterization :

  • Used in newborn infants < 7 days old

  • Used for

      Exchange transfusion

      Administration of drugs

      CVP monitoring

      Administration of high glucose concentrations
Umbilical arterial catheterization :

Two methods:

  • Direct placement

  • Cutdown

Complications of UAC

Sites for venous cutdown :

  • Saphenous

  • Basilic

  • Distal cephalic

  • Proximal cephalic

  • External jugular

  • Facial
Technique for venous cutdown

  • Immobilize the extremity

  • Identify the site

  • Cleanse the skin with iodine

  • Infiltrate the skin (lidocaine)

  • Make an incision and dissect

  • Identify the vein (over hemostat)

  • Pass a loop of 3-0 silk under the vein and cut the loop

  • Ligate the vein distally

  • Make a venotomy

  • Advance the catheter into the vessel 5 to 6 cm.

  • Flush the catheter with saline

  • Tie the proximal suture

  • Close the wound with 4-0 silk and secure the catheter
Last created on 07-09-2002
Last submitted on 01-07-2006





 
 
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us