الفهرس 
Introduction
Different Vascular Access in NeonatesOnly 14 pages are availabe for public view
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Abstract
The present study is a prospective clinical audit study aimed to assess how much the staff in the Neonatal Intensive Care Unit are sticking to the agreed upon unit’s protocol regarding the procedures for the insertion and maintenance of umbilical intravascular catheters, appropriate infection control measures to prevent intravascular catheter-related infections and to identify every defect in UVC procedure in AUCH and prescribe how to correct these defects. The study included neonates who need vascular access for resuscitation at AUCH over a period of 9 months from the first of April 2020 up to the end of December 2020. The study included 94 neonates with UVC fixed during the first week of life at Assiut University Children Hospital.
- The median gestational age (weeks) of the studied participants was 32 weeks.
- Seven cases (7.4%) were full-term extending from 37 to 38 weeks, 87 (92.6%) were preterm extending from 26 to 36 weeks.
- The median postnatal age (days) was 2 days and ranged from one up to four days.
- The median birth weight (gm) was 1720 gm and ranged from 900 up to 2600 gm.
- No sex predilection among studied cases, out of 94 studied participants, 42 (44.7%) were males and 52 (55.3%) were females.
- Most of the agreed upon unit’s protocol regarding the procedures for the insertion and maintenance of umbilical intravascular catheterization are accurately applied in most cases in this NICU.
- Some defects regarding the insertion of UVC were observed in the current study as follow:
Determine the length of catheter was done in only 90 (95.7%) of the studied cases.
Scrub hands to elbow was done in only 59 (62.8%) of the studied cases,
Put on sterile gloves, a mask and gown were done in only 84 (89.4%) of the studied cases,
Drape the abdomen with sterile towels was done in only fifty percent of the studied cases,
Place umbilical tape around the cord and tie a single knot was done in only 68 (72.3%) of the studied cases,
Cut the cord horizontally with a scalpel to a length of 1 cm from skin was done in only 87 (92.6%) of the studied cases,
Remove clots with forceps; identify cord vessels was done in only 59 (62.8%) of the studied cases,
Grasp cord stump, using toothed forceps was done in only 63 (67.0%) of the studied cases,
Gently dilate the vessel by inserting forceps was done in only 22 (23.4%) of the studied cases,
Position of the catheter were verified by x-ray was done in only 77 (81.9%) of the studied cases,
Place a purse-string suture using silk thread around base of the cord was only done in 36 (38.3%) of the studied cases,
Add dilute heparin, to prevent clotting was only done in 17 (18.0%) of the studied cases.