Experience with percutaneous indwelling peripheral arterial catheterization in neonates.
We present an experience with indwelling peripheral arterial catheters in preterm and term neonates. During a 12-month interval, 158 peripheral arterial lines were inserted in 115 infants. Eighty-eight infants required a single line while 27 infants required more than one line. Ninety-one catheters (57.6%) were electively removed, and 67 (42.4%) had to be discontinued prematurely. Vessels used included 110 radial arteries (69.6%), 27 posterior tibial arteries (17.1%), and 21 temporal arteries (13.3%). There were only two major complications (1.27%), both related to infections. The technique is described in detail. In our experience, with appropriate precaution, peripheral arterial cannulation has been a safe and reliable alternative to umbilical arterial catheterization.
D001158:Arteries; D002408:Catheters, Indwelling; D005542:Forearm / Q000098:blood supply; D006801:Humans; D007231:Infant, Newborn; D007866:Leg / Q000098:blood supply; D013699:Temporal Arteries; D014469:Umbilical Arteries