August 1987

Experience With Percutaneous Indwelling Peripheral Arterial Catheterization in Neonates

Author Affiliations

From the Division of Perinatal Medicine, Department of Pediatrics (Drs Randel, Driscoll, and James), and the Department of Anesthesiology (Dr Wung), College of Physicians & Surgeons of Columbia University, New York. Dr Randel is currently with Plantation (Fla) General Hospital and Dr Tsang is currently with Harlem Hospital, New York.

Am J Dis Child. 1987;141(8):848-851. doi:10.1001/archpedi.1987.04460080034022

• We present an experience with indwelling peripheral arterial catheters in preterm and term neonates. During a 12-month interval, 158 peripheral arterial lines were inserted In 115 infants. Eightyeight infants required a single line while 27 infants required more than one line. Ninety-one catheters (57.6%) were electively removed, and 67 (42.4%) had to be discontinued prematurely. Vessels used included 110 radial arteries (69.6%), 27 posterior tibial arteries (17.1%), and 21 temporal arteries (13.3%). There were only two major complications (1.27%), both related to infections. The technique is described in detail. In our experience, with appropriate precaution, peripheral arterial cannulation has been a safe and reliable alternative to umbilical arterial catheterization.

(AJDC 1987;141:848-851)