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Images in neonatal medicine
Umbilical venous catheter extravasation diagnosed by point-of-care ultrasound
  1. Gauthamen Rajendran1,
  2. Ajay Kumar Sinha1,2
  1. 1 Neonatal Medicine, Barts Health NHS Trust, London, London, UK
  2. 2 Centre for Genomics and Child Health, Blizard Institute, Barts and the London School of Medicine and Dentistry, London, UK
  1. Correspondence to Dr Gauthamen Rajendran, Neonatal Medicine, Barts Health NHS Trust, London 713104, UK; gauthamen.r{at}

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A 24-week gestational age neonate with severe respiratory distress syndrome was managed with high-frequency oscillatory ventilation and inotropes. Umbilical artery catheter and umbilical venous catheter (UVC) were inserted on day 1. UVC aspirated blood freely at the time of insertion and followed a straight course on abdominal X-ray (AXR). UVC was initially at the eighth thoracic vertebral (T8) level and was pulled back to T10.

On day 4, the baby developed …

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  • Contributors GR wrote the manuscript. AKS critically reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.