In most pediatric institutions, when intravenous therapy is performed the sick premature or newborn infant is simply removed from the optimal oxygen, temperature, and humidity of the incubator and a cutdown or a scalp vein cannulation is performed. This is often done on a table top or some other elevated surface, such as the top of the incubator. Some pediatricians start intravenous therapy by working through the porthole of the incubator, which is technically difficult.
The Figure illustrates a simplified technique in which the acutely ill premature or newborn infant may continue to get the needed oxygen, humidity, and warmth. First the mattress board of the incubator * is raised by using blankets or blocks so that this surface is at the level of the inferior rim of the portholes. The infant is positioned so that the foot can be pulled out of the plastic cuff of the porthole and secured
KRAVITZ H. Intravenous Therapy in Infants: A Technique Without Removing the Patient from the Incubator. Am J Dis Child. 1963;105(4):393–394. doi:10.1001/archpedi.1963.02080040395013
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