An alternative method to temporarily secure umbilical catheter(s) in the Neonatal Intensive Care Unit at the Royal Women’s Hospital, in routine care of newborns requiring central vascular access

Research Opportunity
Honours
Number of Honour Places Available
1
Department
Obstetrics and Gynaecology
Location
Royal Children’s Hospital/Murdoch Childrens Research Institute
Group Leader Email Number Webpage
Dr, MD, PhD Marta Thio marta.thiolluch@thewomens.org.au +61450886176
Primary Supervisor Email Number Webpage
Professor Peter G Davis pgd@unimelb.edu.au +61417039736

Project Details

Umbilical catheters are often used for the stabilization and ongoing management of a critically ill neonate in NICU.  Current routine practice is to apply a suture at the base of the umbilical cord with some more ties along the catheter, which is then covered with adhesive tape (A). This method provides secure catheter placement but often the process is time-consuming. This may contribute to delays in commencement of intravascular therapy during the “Golden Hour” after birth, and can result in adverse events such as hypoglycaemia and hypothermia.

Recently, our research group conducted a benchtop study to test the use of a plastic clamp as an alternative method to secure umbilical venous catheters (B). Our results showed that the cord clamp was simple to use, significantly reduced the time to secure umbilical catheters compared with current suture technique (6 s versus 49 s, p<0.001), was more effective in preventing catheter dislodgement (0% versus 17.5%, p = 0.006), and did not occlude the catheter compared to the suturing when infusing small volumes (5 mL, p=0.102). However, more occlusion events occurred when infusing large volumes (30mL) through the clamp versus the suture (20% versus 0%, p=0.003).

In this prospective interventional cohort study we will test the safety and efficacy of temporarily securing umbilical catheters with a plastic clamp in 50 newborn infants requiring umbilical catheters in NICU, until the Xray confirms their adequate position. If this method is effective, it will be implemented as standard of care for the cannulation of umbilical vessels in NICU.  If the number of obstructions remains low and easily reversible, this technique may also become standard practice to secure umbilical catheters in an emergency scenario, i.e. during newborn resuscitation.



Faculty Research Themes

Child Health

School Research Themes

Child Health in Medicine



Research Opportunities

Honours
Students who are interested in joining this project will need to consider their elegibility as well as other requirements before contacting the supervisor of this research

Graduate Research application

Honours application

Key Contact

For further information about this research, please contact a supervisor.

Department

Obstetrics and Gynaecology

Research Node

Royal Children’s Hospital/Murdoch Childrens Research Institute

MDHS Research library
Explore by researcher, school, project or topic.