title: Umbilical venous catheter complications in newborns: a 6-year single-center experience.
abstract: OBJECTIVE
  Umbilical venous catheter (UVC) insertion is frequently performed in critically ill neonates. Various mild or serious complications of umbilical venous catheterization can be observed associated with this procedure. In this study, newborns that have undergone UVC and developed complications were evaluated.
  
  
  METHODS
  This retrospective observational study was carried out in newborns that have undergone UVC and developed complications were evaluated between June 2008 and November 2014.
  
  
  RESULTS
  Umbilical venous catheter were inserted to 974 (22.4%) newborn and followed for 7402/catheter days. UVC-related complications developed at 198 patients (20.3%). The most common UVC-related complications were malposition (n = 189), catheter-related bloodstream infection (n = 6) and remnant of catheter in the umbilicus (n = 3), respectively. Remnant of catheter in the umbilicus was removed by pediatric surgeon. Except one patient, all patients were discharged.
  
  
  CONCLUSIONS
  Although UVC is a common and easy vascular access, this process is not without complications. UVC may be inappropriate position because the catheter is inserted by the pediatrician without imaging guidance and may occasionally be associated with complications. Inappropriate positioning of the catheter may observe during the follow-up and maintained care. Therefore, newborns particularly in premature and very low birth-weight newborn should be followed in terms of catheter complications during insertion, following and just after removing of the catheter.
authors.affiliation: a Division of Neonatology , Department of Pediatrics, Karadeniz Technical University , Trabzon , Turkey .
authors.forename: Mehmet
authors.initials: M
authors.lastname: Mutlu
authors.affiliation: a Division of Neonatology , Department of Pediatrics, Karadeniz Technical University , Trabzon , Turkey .
authors.forename: Yakup
authors.initials: Y
authors.lastname: Aslan
authors.affiliation: b Department of Radiology , Karadeniz Technical University , Trabzon , Turkey , and.
authors.forename: Sibel
authors.initials: S
authors.lastname: Kul
authors.affiliation: c Department of Infectious Diseases and Clinical Microbiology , Karadeniz Technical University , Trabzon , Turkey.
authors.forename: Gürdal
authors.initials: G
authors.lastname: Yılmaz
mesh_terms: D062905:Central Venous Catheters / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology*; D008297:Male; D012189:Retrospective Studies
keywords: Complication; newborn; umbilical venous catheter