UVC MEDICAL ABBREVIATION SKIN

In most NICUs, UVCs are not used for more than 5–7 days, due to increased incidence of late onset sepsis (LOS) related to UVC longevity. Unit protocols or clinician preferences may guide the choice of one of the two CVCs. One RCT conducted in India, examined UVCs and PICCs in terms of success rate, complications, cost, and time of insertion in NICU and concluded that UVC is a cheaper alternative to PICC, with similar success rate, short-term complications and time needed for insertion. Evidence in the literature shows that the use of UVC followed by PICC in VLBW neonates, is superior compared to peripheral venous access only. īoth of these catheters are associated with multiple and often severe complications, including infection, local edema, thrombosis, blockage, displacement, liver abscess, pericardial effusion/tamponade, portal venous thrombosis, pleural effusion, embolization, and non-elective removal. The optimal position of the UVC is at the junction of the inferior vena cava and right atrium, above the diaphragm (Τ8–Τ10). However, due to technical challenges, a significant number of catheters may end up with their tip in suboptimal non-central positions for example, for the catheters with their tip in subclavian veins, which were termed midclavicular, no complications were noted. PICCs inserted in the axillary vein were 12 times less likely to have complications and 7 times more likely to avoid early removal due to complications.įor upper extremities, the optimal line tip position is in the superior vena cava (for preterm neonates 0.5–1 cm outside the cardiac chambers and for term neonates 1–2 cm outside the cardiac chambers) and for lower extremities, inside the inferior vena cava. , randomized 61 premature infants to receive PICC inserted in an axillary vein or other areas further away (or distally).

Common sites of PICC insertion are the veins of the upper limbs (basilar cephalic, axillary, veins of the forearm), of the lower limbs (small saphenous vein at the level of popliteal vein, or great saphenous vein at the level of internal malleolus) and rarely, others, such as the external jugular and posterior auricular vein.

Insertion can take place on the first day of life (following failure of UVC insertion) or at any time during the entire NICU stay. The commonly used CVCs in the NICU are eripherally inserted central catheters (PICCs) or “long lines” and umbilical venous catheters (UVCs).Ī PICC is inserted in one of the major peripheral veins.

UVC MEDICAL ABBREVIATION SKIN

Central catheters are recommended in view of convenience, cost-benefit, and fewer complications than peripheral short-term venous catheters, and skin tunneled cuffed catheters (Hickman, Broviac).

They are commonly used to provide fluids, medications and total parenteral nutrition (TPN) to critically ill infants, especially to very low birth weight (VLBW) and extremely low birth weight (ELBW) neonates, in line with the practice of minimal handling, allowing longer dwell time and less frequent need for reinsertion, thus reducing stress. CVCs are essential in neonatal intensive care units (NICUs) for diagnostic and therapeutic purposes in neonates. Intravenous lines are broadly divided into two categories: Short-term peripheral lines and central venous catheters (CVCs). Further studies, with larger samples, are necessary to confirm our results. Conclusions: The incidence of complications associated with the use of UVCs and PICCs in VLBW infants did not significantly differ in our study.

Eleven UVC tips and no PICC tips were proved colonized ( p = 0.001) following catheter removal. Results: No significant statistical differences were noticed between the 2 study groups with regards to demographic characteristics, causes for catheter removal, catheter indwelling time or the incidence of nosocomial infection. We recorded: Catheter dwell time, the causes of catheter removal, other complications, infections, and catheter tip colonization rates. Seventy-one neonates were recruited and divided into two groups: 34 neonates with PICC and 37 neonates with UVC. Materials and Methods: This is an observational study performed with neonates of the tertiary General Hospital of Piraeus, Greece, during an 18 month-period. We aimed at investigating the incidence of UVC and PICC complications in very low birth weight (VLBW) infants. While there is a significant need for these devices for critically ill neonates, there are many complications associated with their use. Background and Objective: Peripherally inserted central catheters (PICC) and umbilical venous catheters (UVC) are frequently used for vascular access in neonatal intensive care units (NICUs).

Uvc medical abbreviation