moliyen Posted October 20, 2011 Share Posted October 20, 2011 I have one question regarding the correct timing for inserting a UVC for realizing an exchange transfusion. Is there any literature regarding after how many days is it correct to insert a UVC, without a risk of NEC or other type of infections due to the colonization of the umbilical stump? Thank you Link to comment Share on other sites More sharing options...
Stefan Johansson Posted October 23, 2011 Share Posted October 23, 2011 I have searched PubMed for literature about your question above, without success. Our strategy is to use the umbilical vein if it is possible to catheterize it (circle argumentation...), i.e. the first few days postpartum. For us, exchange transfusion is a really rare procedure, and the few exchange transfusions we need to do are virtually all related to hemolytic disease that is evident early postpartum (typically during the 1st or 2nd postnatal day). Link to comment Share on other sites More sharing options...
JACK Posted October 23, 2011 Share Posted October 23, 2011 Not exactly to the point but very informative http://www.adhb.govt.nz/newborn/guidelines/vascularcatheters/UmbilicalCatheters.htm Link to comment Share on other sites More sharing options...
moliyen Posted October 25, 2011 Author Share Posted October 25, 2011 We seem to have a lot of ABO incompatibilities, and have external patients that are admitted on their third or fourth day of life, with bilirrubin around 30 mg dl that need exchangetransfusions, but we were wondering if there was any contraindication to insert an UVC after the third day.....or up to which day is it safe to do it without a risk for NEC. Thanks again..... Link to comment Share on other sites More sharing options...
Stefan Johansson Posted October 31, 2011 Share Posted October 31, 2011 I would think that a UVC (see also link shared by JACK above) that is correctly positioned is ok under these circumstances. Link to comment Share on other sites More sharing options...
drbk Posted April 5, 2012 Share Posted April 5, 2012 usually till one week after it becomes difficult to cannulate as stump dries out.Then use other sites-Peripheral arteries /PICC Link to comment Share on other sites More sharing options...
selvanr4 Posted April 6, 2012 Share Posted April 6, 2012 or you can ask the pediatric surgeon to do a cut down just above umbilicus. Link to comment Share on other sites More sharing options...
Guest sageaugie Posted May 26, 2012 Share Posted May 26, 2012 I have successfully managed to insert a UVC on Day 14 of life for exchange transfusion,without any complications. Link to comment Share on other sites More sharing options...
feraszaman Posted May 31, 2012 Share Posted May 31, 2012 I wonder what was the indication to place UVC at day 14 ? I.e Abo or Rh happen very early .. G6PD ? Or just breast feeding hyperbilirubinemia ? Link to comment Share on other sites More sharing options...
Guest sageaugie Posted May 31, 2012 Share Posted May 31, 2012 It was an Out-born / neglected case of hyperbilirubinemia due to ABO incompatibility. Sadly it was only by the 14th day did they realize something was wrong with their baby. Link to comment Share on other sites More sharing options...
ram_jk Posted September 28, 2012 Share Posted September 28, 2012 No issues with days, as long as you can successfully treat the problem. You know the risk - outcome benefit. a dose of flucloxacillin might help around the time of insertion. Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now