Periprocedural Care
Equipment
Before the procedure is initiated, a radiant warmer should be obtained, and the patient should be connected to a cardiac monitor. Necessary equipment includes the following:
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Personal protective equipment (ie, sterile gown, gloves, and mask)
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Sterile drapes
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Umbilical catheter, 3.5 or 5 French (see the images below)
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Iris forceps without teeth
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Small clamps
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Scalpel
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Scissors
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Needle holder
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Silk suture (3-0) or umbilical tape
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IV tubing and three-way stopcock
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Patient Preparation
Umbilical vein catheterization typically requires no anesthesia. The newborn should be restrained in a supine position and placed beneath a radiant warmer.
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Media Gallery
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Umbilical vein catheterization. Technique for umbilical vein dilation and insertion of catheter.
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Illustration of umbilical vein and arteries.
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Umbilical catheter (5 French). Note proximal attachment for stopcock.
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Close-up of umbilical catheter.
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Umbilical vein catheterization. Dilating umbilical vein and clearing thrombus.
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Umbilical vein catheterization. Insertion of umbilical vein catheter.
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Umbilical stump, with two arteries and one vein visible.
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