Publications by authors named "Amber Seigel"

Article Synopsis
  • A 9-day-old baby with coarctation of the aorta faced life-threatening complications requiring urgent medical interventions, including intubation and cardiac compressions.
  • Despite initial struggles with oxygen saturation, using prostaglandin E1 via an umbilical venous catheter significantly improved the baby's condition within minutes.
  • The successful use of UVC in this case highlights its effectiveness as a first-line central venous access in critically ill neonates, particularly those with suspected left heart obstruction.
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Aim: Safe tip placement of umbilical venous catheters (UVCs) in sick neonates is critical in minimising risk. We aimed to demonstrate the utility of clinician-performed ultrasound (CPU) in identifying UVCs that are placed within small intrahepatic portal vessels or within the heart despite the appearance of being well placed on X-ray.

Methods: This was a retrospective observational study of preterm and term neonates who had a UVC placed and the position assessed by X-ray and/or CPU according to the Royal Prince Alfred Hospital level 3 neonatal intensive care unit (NICU) guideline.

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