Posted March 11, 20168 yr Hi every one >> i want to ask about long term effect of ucv and in specific on the liver .. ita not uncommon for the uvc to be placed in the liver , usualy we take it out and (if possible ) inserting another one (hopefully in the right position ) but some Neonatologist advice to leave it if the only solution passing through it is N/s (for couple of days) so .. is there any study done to adress the long term effect on the liver in case of wrong placement ? some times i dont feel in hurry to change it , so how serous is the wrong uc placement >?? thanks in advance
March 14, 20168 yr We have all faced this conundrum but ultimately the risk of malposition has been highlighted in a number of reports such as Grizelj R. Severe liver injury using umbilical venous catheter: case series and literature review. Am J Perinatology 2014 Nov; 31(11): 965-74 Fuchs EM. Umbilical venous catheter-induced hepatic hematoma in neonates. Journal of neonatal-perinatal medicine 2014 Jan 1;7(2): 137-43 As a result our unit introduced ultrasound confirmation in an effort to mitigate complications, shorten duration of UVC line insertion time and decrease risk of litigation, we also adopted a policy of restricting indwelling umbilical catheter duration to no more than 7 days based on older studies indicating an increase in infection risk and thrombus formation. The latter article I have attached as an interesting read albeit from 2009 Kind regards Ricky Dippenaar UmbilicalVein1.pdf
March 14, 20168 yr hi have any of you noted another interesting finding with regards to UVC insertions in preterm. we have noticed that our radiologists (we have noted as well) often report about a lucency around UVC tips on X-rays. there is a high incidence of UVC related complications when we see such things on X-rays. Not exactly sure what these lucencies may indicate? - surrounding hepatoma or air around the catheter? any similar experience or any other thoughts? Shri
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