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In an emergency, advance the catheter only 1-2cm beyond point at which good blood return is obtained to avoid injecting hyperosmolar fluids into the portal vessels causing liver necrosis refl.in/uvc

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One inserted and sterile field is disrupted, do not advance further as this increases the risk of infection. Withdrawal is acceptable.

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Cross sectioning of the umbilical cord reveals two small diameter muscular arteries, and one large thin-walled vein. refl.in/uvc

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Vein is usually located in the 12-o’clock position. refl.in/uvc

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Technique overview refl.in/uvc

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If required, you can transiently occlude venous blood flow by compressing the umbilical vein superiorly to the umbilicus.
#apls #example

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