Emergency vascular access in a neonate via the umbilical vein.
Indications
- • Resuscitation drug administration
- • Sick neonate needing IV access
Contraindications
- ⚠ Omphalitis
- ⚠ Omphalocele
Equipment
- • 3.5–5 F UVC catheter
- • Sterile kit
- • Umbilical tape
- • Heparinized saline
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Sterile technique; loose umbilical tape at base.
Immediate complications
- ⚠ Vessel injury
- ⚠ Air embolism
Delayed complications
- • Portal vein thrombosis
- • Infection
- • Necrotizing enterocolitis (rare)
Recognition
- • No blood return
- • Site infection
Initial management
- • Remove; escalate
Prevention
- • Aseptic technique
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Related in WardRound
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
