Procedures Flashcards
What is the recommended approach for all procedures in neonatology?
All procedures should be performed with the maximum amount of sterility that the urgency of the procedure allows.
Why is correct immobilization and care of catheters important?
Correct immobilization and care of catheters are extremely important to prevent displacement or infection.
What is unique about procedures relating to umbilical vessels in neonatology?
Procedures relating to umbilical vessels are unique to neonatology.
What is the purpose of Umbilical Vein Catheterization (UVC)?
UVC serves as a vascular access during emergency resuscitation, exchange transfusions, and central venous access.
What are some complications of UVCs?
Complications of UVCs include air embolism, infection, and thromboembolism.
How should the position of non-emergency UVCs be confirmed?
Non-emergency UVCs should have their position checked with an x-ray to ensure the catheter is not too deep (in the heart) or in the wrong place (hepatic or other smaller vessels).
What is Umbilical Arterial Catheterization (UAC) used for?
UAC allows arterial access during the first week of life, providing direct access to the arterial blood supply. It also enables accurate measurement of arterial blood pressure and serves as a source of arterial blood sampling.
What are some complications associated with intra-arterial catheters like UAC?v
Complications include thrombosis and infection.
What is a Peripheral Long-Line (Peripherally inserted central catheter - PICC line) used for?
A PICC line is used for prolonged intravenous access, such as extended antibiotic therapy or total parenteral nutrition. It can also be used for administering substances that should not be given peripherally, like inotropes.
Describe the insertion process of a PICC line.
A PICC line is inserted percutaneously through the skin at a peripheral site, extending to the superior vena cava or other large vein. It remains in place for days or weeks, dwelling within the veins.
What is the purpose of endotracheal intubation?
Endotracheal intubation is performed to support the work of breathing by placing a tube in the airway.
Where can endotracheal intubation be performed?
It can be done through the nose or the mouth into the trachea.
What is the importance of measuring the depth of the endotracheal tube?
Measuring the depth ensures that the tip of the endotracheal tube rests above the carina, preventing complications.
Why is the diameter of the tube an important consideration?
The diameter of the tube is important to ensure maximum effectiveness and adequate ventilation.
How should non-urgent intubations be performed?
Non-urgent intubations should be performed using sedation to minimize discomfort and agitation in the patient.
