Application of umbilical vein intubation with indwelling needle in neonatal asphyxia resuscitation
ZHOU Xiulian1 HE Haochen2 FU Xiaohui1 GAO Xiaowei3
1.Department of Neonatal, Beijing Shangdi Hospital, Beijing 100084, China;
2.Center of Preventive Treatment of Disease, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
3.Delivery Room, Beijing Shangdi Hospital, Beijing 100084, China
Abstract：Objective To explore the application of umbilical vein intubation with indwelling needle in neonatal asphyxia resuscitation. Methods From January 2017 to December 2018, a total of 58 cases of critically ill neonates delivered in Beijing Shangdi Hospital and needed to establish venous route were selected. The patients in the experimental group were randomly divided into two groups by coin toss, 28 patients in the experimental group were intubated with indwelling needle and 30 patients in the control group were intubated with umbilical vein catheter. The primary operation success rate, operation time, catheter-related infection rate and rescue success rate of umbilical vein intubation with two different catheters were compared. Results There was no significant difference in the success rate of primary intubation between the two groups (P ＞ 0.05). The operation time of the experimental group was significantly shorter than that of the control group, and the difference was statistically significant (P ＜ 0.05). There was no significant difference in catheter-related infection rate between the two groups (P ＞ 0.05). There was no significant difference in the success rate of rescue between the two groups (P ＞ 0.05). Conclusion In neonatal asphyxia resuscitation, medical staff use indwelling needle to conduct umbilical vein intubation to establish venous route faster, which can meet the demand of intravenous medication in neonatal asphyxia resuscitation.
2020, Vol. 17 
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