Advances in insertion depth and indwelling time of umbilical venous catheterization

VernacularTitle:脐静脉置管置入深度和留置时程的研究进展
Author: Xu ZHENG ; Zixin YANG ; Mingyan HEI
From: Chinese Journal of Perinatal Medicine 2021;24(6):471-475
CountryChina
Language:Chinese
Abstract: Umbilical venous catheterization (UVC) is associated with many complications, such as displacement of the catheter, infection, exudation, thrombosis, pericardial effusion/pleural effusion, of which central line-associated bloodstream infections has been of long-standing interest. There is currently no optimal method for estimating the depth of UVC insertion. Ultrasound examination can be used to evaluate the position of the end of the tube after catheterization to avoid organ damage and complications caused by displacement and dislocation. However, whilst it is known that there is a correlation between the duration of UVC and central line-associated bloodstream infection, a consensus is yet to be reached regarding the optimal duration of UVC retention. More, high quality evidence through multi-center, prospective randomized controlled study is needed.