Soonsawad et al reported risk factors for malposition of an umbilical venous catheter in a neonate. A noncentral location of the catheter may be associated with complications which are preventable. The authors are from BC Women's and Children's Hospital, University of British Columbia and Mahidol University in Thailand.
The umbilical venous catheter should be in a central position.
A catheter may be in a noncentral position if:
(1) it was noncentral on initial insertion
(2) the catheter was pulled back
(3) the catheter migrated over time
Risk factors for a noncentral position
(1) use of a larger catheter (5 French, OR 2.5)
(2) increasingly invasive respiratory support (OR 1.7)
(3) failure to monitor location of the catheter
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