[Ultrasound monitoring of the umbilical artery catheter. A case of a newborn infant with recurrent hypoglycemia].
Hypoglycaemia in neonates can be caused by malposition of the umbilical artery catheter (UAC). If the tip of the umbilical arterial catheter is located next to the origin of the great abdominal vessels glucose infusion is mainly directed into the coeliac trunk and superior mesenteric artery. Direct stimulation of the pancreatic gland might then result in hyperinsulinaemic hypoglycaemia. Generally, UAC position is controlled by x-ray. When using ultrasound for location of the UAC the exact topography and especially the relation of the tip of the UAC to the great vessel lumina can be documented precisely.
Rand
T
T
Universitätsklinik für Radiodiagnostik, Abteilung für Kinderradiologie, Wien.
Weninger
M
M
Dobner
M
M
Ponhold
W
W
Pollak
A
A
Trattnig
S
S
D001786:Blood Glucose / Q000378:metabolism; D002408:Catheters, Indwelling; D002445:Celiac Artery / Q000000981:diagnostic imaging; D004305:Dose-Response Relationship, Drug; D005950:Glucose Solution, Hypertonic / Q000008:administration & dosage*; D006801:Humans; D007003:Hypoglycemia / Q000000981:diagnostic imaging* / Q000628:therapy; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D007262:Infusions, Intravenous; D007328:Insulin / Q000097:blood; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014469:Umbilical Arteries / Q000000981:diagnostic imaging*
D001786:Blood Glucose; D005950:Glucose Solution, Hypertonic; D007328:Insulin
Sonographische Lagekontrolle des Nabelarterienkatheters. Fall eines Neugeborenen mit rezidivierenden Hypoglykämien.