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Vol.58 (2012) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/317

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Title: Evaluation of arterial catheter management in very preterm neonates: peripheral artery versus umbilical artery
Other Titles: Peripheral artery versus umbilical artery
Authors: Imamura, Takashi
Momoi, Nobuo
Go, Hayato
Ogasawara, Kei
Kanai, Yuji
Sato, Maki
Goto, Aya
Hosoya, Mitsuaki
Affiliation: 小児科学講座
Source title: Fukushima Journal of Medical Science
Volume: 58
Issue: 1
Start page: 1
End page: 8
Issue Date: 2012
Abstract: Objectives: To evaluate whether peripheral arterial catheter management is more effective than umbilical arterial management in very preterm neonates. Methods: Thirty-eight very preterm neonates born in Fukushima Medical University Hospital between October 2008 and March 2010 were evaluated. A peripheral arterial catheter was inserted in 19 neonates (peripheral group) and an umbilical arterial catheter in the remaining 19 neonates (umbilical group). Results: The median gestational ages of the peripheral and umbilical groups were 195 and 185 days, respectively (p=0.04). The systolic and diastolic blood pressure (BP) was significantly higher in the peripheral group than in the umbilical group (p=0.03 and p=0.001). There was a significant relationship between BP at cannulation and urinary output after cannulation for 24 h in the peripheral group (r_s=0.49, p=0.03); however, no such significant relationship was found in the umbilical group. Conclusions: We considered that peripheral artery catheters provide a well-functioning route for continuous BP monitoring, even in very preterm neonates. Because umbilical catheter placement might affect urinary output, we speculated that peripheral arterial catheter placement would be a more effective management strategy than umbilical arterial catheter placement in very preterm neonates. Further studies of larger populations are necessary to evaluate the effectiveness of arterial management including long-term follow-up studies.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/317
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/317/1/FksmJMedSci_58_p1.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.58.1
PubMed ID: 22790886
Other version: http://dx.doi.org/10.5387/fms.58.1
Rights: © 2012 The Fukushima Society of Medical Science
Appears in Collections:Vol.58 (2012)

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