title: Double-catheter technique for the proper insertion of umbilical venous catheters in newborns.
abstract: OBJECTIVE
  To document the usefulness and safety of inserting a second umbilical venous catheter in ill neonates, while a previously misplaced first catheter was still in its place.
  
  
  METHODS
  The case series involved 25 newborn babies who were admitted to the Neonatal Intensive Care Unit, Maternity Hospital, Kuwait, over a 3-year period from 1999 to 2002. The umbilical venous catheter of the babies was misplaced and diverted to the liver, necessitating insertion of a second catheter while the previous one was still in place. The characteristics of the babies and possible catheter-related complications were recorded.
  
  
  RESULTS
  Of the 25 babies, 19 had the second catheter properly placed in the right atrium, while in the remaining 6 neonates, the catheter was still misplaced. Misplacement occurred mostly in full-term babies or the catheter was inserted at a later stage. No life-threatening complication was observed during the procedure.
  
  
  CONCLUSIONS
  Insertion of a second umbilical venous catheter with the misplaced first catheter in situ is a useful and safe procedure.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Kuwait University, Safat, Kuwait. mazen@hsc.edu.kw
authors.forename: Mazen
authors.initials: M
authors.lastname: Al-Essa
authors.forename: Nabil
authors.initials: N
authors.lastname: Rashwan
authors.forename: L V
authors.initials: LV
authors.lastname: Devarajan
mesh_terms: D002404:Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014471:Umbilical Veins