Ultrasound-guided femoral venous cannulation is frequently performed in neonates. Identification of femoral vessels under ultrasound navigation is unreliable and time consuming in hemodynamically unstable neonates with feeble femoral arterial pulse. Confirming the guidewire placement in a femoral vein is a crucial step for preventing inadvertent femoral artery dilation, which may be a challenging task in an emergency situation. We describe 2 incidents wherein guidewires placed via femoral veins in neonates were detected in the inferior vena cava on abdominal ultrasound. We advocate abdominal inferior vena cava imaging to confirm the correct placement of a guidewire placed via femoral vein in emergency situations.

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000000754DOI Listing

Publication Analysis

Top Keywords

inferior vena
12
vena cava
12
confirm correct
8
guidewire placement
8
femoral
8
placement femoral
8
femoral venous
8
venous cannulation
8
femoral vein
8
ultrasound imaging
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!