The use of central venous catheters (CVCs) is an essential part of neonatal care allowing delivery of intravenous fluids and medication. The use of these catheters is associated with a number of complications. Whilst catheter-associated infection is well recognised and subject to scrutiny, extravasation into a body cavity is less common but potentially fatal if tamponade ensues. A recent national survey revealed wide variation in practices around umbilical catheter insertion and management.
Following several case reports of fatal CVC associated extravasation ÐÓ°ÉPro was contacted by NHS England (Patient Safety Domain) to review the use of CVCs (both umbilical and peripherally-inserted) in neonates with the aim to reduce harm and improve safety.




