Paeds Vivas · investigations-procedures-and-technology

Umbilical venous and arterial catheterisation — branching viva

A branching viva following one sick preterm infant from the decision to place umbilical venous and arterial catheters, through the vessel anatomy and courses, the Shukla birth-weight depth formula, the high and low arterial positions with the high preferred, the venous target at the diaphragm, and the radiographic confirmation of the tip, to the recognition and management of a white limb, renal artery thrombosis with hypertension, and line sepsis, with the dwell-time limits of five days for arterial and fourteen days for venous catheters.