Complications of SULP included CABSI, peritoneum breach during procedure, catheter blockage, surgical site infection in 1 patient each. Mean duration of indwelling catheter was 5.3 days. Out of 11 SULP, 5 were ideal, 4 were deep and 2 were short in catheter tip position. Our objectives were to describe the practices and complications associated with UVCs and to evaluate the type of infusates used with either UVC position.

The primary indications for SULP were prolonged antibiotics in 4, total parenteral nutrition in 4, difficult intravenous access in 2 and recurrent hypoglycemia in 1 patient. Objectives: Conventional neonatology practice is to place umbilical venous catheters (UVCs) in central position and to limit the use of low-lying catheters. The mean age at SULP was 25.9 post-natal days. Results: Total 11 patients had UVC insertion by SULP technique. Catheter-associated bloodstream infection (CABSI) was defined as the positive microbiological growth in one or more blood cultures obtained from a symptomatic infant up to two days after UVC placement or within 48 hours of catheter removal. Ideal UVC position was defined as catheter tip within 0.5 cm above or below the diaphragm. Methods: A single-center retrospective study over 18 months reviewing complications related to UVC insertion by SULP technique in neonates. We describe here a novel supra umbilical line placement (SULP) technique in neonates and early infants, in whom umbilical stump had cicatrized as a fast and life saving approach. Objective: The umbilical venous catheterization is one of the fastest approaches for venous access in neonates.

Uvc placement