Comparison of central venous cut-down versus umbilical venous catheterization in neonates

Abstract EN

Background : literature described many routes of venous access as umbilical vein catheters (UVCS) and central venous cut down (CVCS).

they can place CVCS in different sites as femoral vein, subclavian vein, internal jugular vein (IJV), and peripheral veins leading to central access.

objective : UVCS is compared with CVCS in neonates as regard number of insertion attempts, indications and complications.

patients and methods : this comparative prospective study was done at al-Galaa teaching hospital in neonatal intensive care unit.

we included in this study one hundred neonates, 50 neonates with CVCS and 50 neonates with UVCS, from period between august 2020 and august 2021.

results : the present study reported that a high incidence of CVC side effects which can significantly impact patient outcomes.

our study also showed ultrasound findings which are decrease bowl motility and low mesenteric blood flow which are more affected in UVC group and showed significant difference between two groups.

this study shows statistically significant difference between groups according to outcome prognosis which is better in UVC group.

unfortunately, no similar papers in the literature comparing CVC with UVC could be reached.

conclusion : prevention of CVCS complications in Nicu should be an important goal.

further research would be held to confirm our results and decrease the CVCS complications.

an important goal for neonatologists and nurses in Nicus should be removal of the CVCS at the earliest possible.

malposition and migration of UVC catheter are the most common complications so routine catheter tip observation should be considered in Nicus.