Paeds Cases · investigations-procedures-and-technology

Place the right line at the right depth — umbilical venous and arterial catheterisation

A bedside structured clinical encounter testing safe umbilical catheterisation in a sick preterm infant — the vessel anatomy and courses, the Shukla birth-weight depth formula with the calculation for a 1000-gram infant, the high and low arterial positions with the high preferred and the reason, the venous target at the diaphragm, the radiographic confirmation of the tip, and the recognition and immediate management of a white limb, persistent hypertension, and line sepsis, with the dwell-time limits of five days for arterial and fourteen days for venous catheters.