{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:40:45Z","timestamp":1791618045292,"version":"4.3.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>\n            Objectives\u2003Conventional neonatology practice is to place umbilical venous catheters (UVCs) in central position and to limit the use of low-lying catheters. Our objectives were to describe the practices and complications associated with UVCs and to evaluate the type of infusates used with either UVC position.<\/jats:p><jats:p>\n            Study Design\u2003A retrospective chart review was performed at four neonatal intensive care units to identify neonates who underwent UVC placement over a 2-year period. Infant demographics, UVC position, catheter days, fluid and medication characteristics, and specific complications were extracted.<\/jats:p><jats:p>\n            Results\u2003A total of 2,011 neonates who underwent UVC placement were identified during the 2-year period. Of these, 641 UVCs (31.9%) were identified in the low-lying position. Centrally positioned UVCs were associated with lower gestational age and were left in situ for a longer duration than low-lying UVCs. Infusions of hyperosmolar solutions and vasopressors were significantly higher in central UVCs, though they were used in a significant number of low-lying UVCs. Complications, while not statistically different, were three times higher in low-lying UVCs.<\/jats:p><jats:p>\n            Conclusion\u2003Despite conventional teaching, low-lying UVCs were used in nearly one-third of infants in this cohort. Parenteral nutrition, antibiotics, and vasopressors were infused through central and low-lying UVCs. There was no statistically significant difference in complication rates between UVC positions.<\/jats:p>","DOI":"10.1055\/s-0038-1676482","type":"journal-article","created":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T23:46:17Z","timestamp":1545263177000},"page":"1198-1204","source":"Crossref","is-referenced-by-count":18,"title":["Central versus Low-Lying Umbilical Venous Catheters: A Multicenter Study of Practices and Complications"],"prefix":"10.1055","volume":"36","author":[{"given":"Nathalie","family":"El Ters","sequence":"additional","affiliation":[{"name":"Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Claassen","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lancaster","sequence":"additional","affiliation":[{"name":"Sunflower Neonatology Associates, Overland Park, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Barnette","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Saint Francis Medical Center, Cape Girardeau, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney","family":"Eldridge","sequence":"additional","affiliation":[{"name":"Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora","family":"Yazigi","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komalpreet","family":"Brar","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja","family":"Herco","sequence":"additional","affiliation":[{"name":"Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Rogowski","sequence":"additional","affiliation":[{"name":"Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marya","family":"Strand","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshaya","family":"Vachharajani","sequence":"additional","affiliation":[{"name":"Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,12,19]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1676482.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T22:39:37Z","timestamp":1567809577000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1676482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,19]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,9,6]]},"published-print":{"date-parts":[[2019,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1676482","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,19]]}}}