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Umbilical catheter misplacement injury
Other Resources UpToDate PubMed

Umbilical catheter misplacement injury

Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH
Other Resources UpToDate PubMed

Synopsis

Umbilical artery catheterization is a procedure used in neonatal intensive care units (NICUs) for monitoring intravascular pressures, chemistries, blood gases, and for administering fluids and medications. Multiple complications can result from this procedure, the most common of which is thrombosis. Cutaneous manifestations of the complications can help direct prompt treatment.

Thromboses can result in multiple cutaneous findings. Early changes include reticulated erythema, transient blanching, vesicles, and bulla. They can progress to unilateral or bilateral gangrene of the feet, lower extremities, or buttocks depending on the site of thrombus.

Rapid recognition of the complications is necessary to facilitate prompt removal of the catheter and treatment. Vasospasm occurring during placement of the catheter is manifest by temporary blanching or cyanosis of the leg and foot. The catheter should be promptly removed if this occurs.

Codes

ICD10CM:
P02.69 – Newborn (suspected to be) affected by other conditions of umbilical cord

SNOMEDCT:
398158001 – Complication of intravascular line

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Last Updated:01/19/2022
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Umbilical catheter misplacement injury
A medical illustration showing key findings of Umbilical catheter misplacement injury : Bullae, Buttocks, Edema, Leg, Mottled configuration, Reticular - netlike, Feet or toes
Clinical image of Umbilical catheter misplacement injury - imageId=2163455. Click to open in gallery.  caption: 'Retiform violaceous patches and plaques on the abdomen and thigh.'
Retiform violaceous patches and plaques on the abdomen and thigh.
Copyright © 2024 VisualDx®. All rights reserved.