{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:15:17Z","timestamp":1785500117709,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1991,1,1]],"date-time":"1991-01-01T00:00:00Z","timestamp":662688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:p>The administration of total parenteral nutrition through umbilical artery catheters in 48 neonates (birth weight 1.7 \u00b1 0.58 kg) was compared with administration via central venous catheters in 26 infants (birth weight 2.05 \u00b1 0.89 kg). There was no significant difference in the amount of calories delivered (72 \u00b1 12 us 78 \u00b1 18 cal\/kg\/day) or in the mean daily weight gain (16.6 \u00b1 13.3 <jats:italic>vs<\/jats:italic> 18 \u00b1 13.9 g\/day). The incidence of sepsis was significantly lower in the umbilical artery catheter group (10.4% us 15.4%) but there was no significant difference in the rate of infection when adjustment was made for number of days of catheter life (1 per 224 days of catheter life in the umbilical artery group us 1 per 199 days in the central venous catheter group). Other major complications included transient hypertension in 2 (4%) of the 48 umbilical artery catheter infants and in 1 (3.8%) of the central venous catheter group, aortic thrombosis in 1 (2%) of the 48 umbilical artery catheter infants and a tricuspid vegetation in 1 (3.8%) of the central venous catheter group. Results suggest that the umbilical artery is a reasonable route for the infusion of total parenteral nutrition in low birth weight infants who require arterial access for blood gas analysis. Use of the umbilical artery catheter for parenteral alimentation may avoid the need for surgical placement of central venous lines and the risk of the attendant complications. Nevertheless, safer routes and improved methods of infusion of parenteral infusion must continue to be developed. <jats:italic>(Journal of Parenteral and Enteral Nutrition<\/jats:italic> <jats:bold>15:<\/jats:bold>71\u201374, 1991)<\/jats:p>","DOI":"10.1177\/014860719101500171","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"71-74","source":"Crossref","is-referenced-by-count":9,"title":["Infusion of Total Parenteral Nutrition via the Umbilical Artery"],"prefix":"10.1002","volume":"15","author":[{"given":"Keith S.","family":"Kanarek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret B.","family":"Kuznicki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Clifford","family":"Blair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1991,1]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1542\/peds.70.3.484","article-title":"Percutaneous insertion of Silastic central venous catheters in newborn infants","volume":"70","author":"Dolcourt JL","year":"1982","journal-title":"Pediatrics"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(80)80756-1"},{"key":"e_1_2_1_4_1","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1542\/peds.78.4.636","article-title":"Central Venous silicone Elastomer catheter placement by basilic vein cutdown in neonates","volume":"78","author":"Gilhooly J.","year":"1986","journal-title":"Pediatrics"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(82)80472-7"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(81)90003-8"},{"key":"e_1_2_1_7_1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1542\/peds.78.2.245","article-title":"Prospective evaluation of percutaneous central venous Silastic catheters in newborn infants with birth weights of 510 to 3,920 grams","volume":"78","author":"Durand M.","year":"1986","journal-title":"Pediatrics"},{"key":"e_1_2_1_8_1","first-page":"354","volume-title":"Current Therapy in Neonatal\u2010Perinatal Medicine","author":"Kashyap S.","year":"1985"},{"key":"e_1_2_1_9_1","first-page":"120","article-title":"Risky business: Umbilical arterial catheterization","volume":"139","author":"Caeton JA","year":"1985","journal-title":"AJDC"},{"key":"e_1_2_1_10_1","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1542\/peds.42.5.769","article-title":"Advantages and complications of umbilical artery catheterization in the newborn","volume":"42","author":"Cochran WD","year":"1968","journal-title":"Pediatrics"},{"key":"e_1_2_1_11_1","first-page":"425","article-title":"Complications from intravascular catheters","volume":"138","author":"Morgan BC","year":"1984","journal-title":"AJDC"},{"key":"e_1_2_1_12_1","volume-title":"SAS User's Guide: Statistics","author":"SAS Institute Inc","year":"1985"},{"key":"e_1_2_1_13_1","volume-title":"Introduction to Probability and Statistics","author":"Mendenhall W.","year":"1971"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(70)80003-3"},{"key":"e_1_2_1_15_1","first-page":"556","article-title":"Role of Broviac catheters in infections in children with cancer","volume":"7","author":"Viscoli C.","year":"1988","journal-title":"Pediatr Infect Dis"},{"key":"e_1_2_1_16_1","first-page":"195","article-title":"Catheter\u2010related sepsis: A review of the experience with Broviac and Hickman catheters","volume":"4","author":"Schropp KP","year":"1988","journal-title":"Nutrition"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)36473-2"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718801200158"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(86)80364-5"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197404042901401"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(85)80034-8"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/014860719101500171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T15:38:59Z","timestamp":1760629139000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/014860719101500171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1177\/014860719101500171"],"URL":"https:\/\/doi.org\/10.1177\/014860719101500171","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}