Vygon Neonatal Paediatric Full
Vygon Neonatal Paediatric Full
Catheters
Specialist Products for Newborns & Young Children
[email protected] www.vygon.co.uk
Product Selection Matrix
Introducer and Access Point Selection
Now put together the information you have gathered and consult the matrix to find the recommended product to meet your requirements.
Table 1 - Introducer Method Preferred Introducer Method Preferred Access Point Recommended Product
Introducer Method Application Advantage Disadvantage
NEWBORN
Cut-down Umbilical catheters Direct vision insertion A surgical procedure < 1kg Umbilical Catheter
Cut-down Umbilical
(1270 Single, 1272 Double)
Plastic through plastic Introducer is larger than
Microflash Peripherally inserted catheter Scalp, ACF, 28G Premicath
insertion the catheter Breakable Needle
Central lower leg, foot (1261.21)
Venepuncture hole is
Breakaway Needle Peripherally inserted catheter Plastic through metal insertion
smaller than a cannula Venous Scalp, ACF, 28G Premicath
Microflash
Removable Needle Peripherally inserted catheter Small venepuncture hole Large needle, two part construction lower leg, foot (1261.22/208)
Arterial or venous, peripheral The venepuncture hole is Can be tricky with an uncooperative Scalp, ACF, 24G Nutriline Twin-Flo
Seldinger Microflash
or central insertion routes smaller than the catheter child lower leg, foot (1252.235)
Knee Popliteal vein: usually limited to neonates due to decreased mobility 22G Leaderflex
Arterial Seldinger Wrist, femoral, foot
(1212)
Please Note: Sites are listed in order of preference, but consider individual characteristics. Long Line Placement Pack
Complementary Products
Secondary sites should be considered only when preferred sites are not available. (80.199.519)
Custom Summary of Education and Placement 20G 22G 24G 24G 24G Nutriline 28G Umbilical
Packs Complications Training Packs Nutriline Leaderflex E.C.C. Nutriline Twin-Flo Premicath Catheters
Catheters
Umbilical
A range of single and double lumen umbilical catheters The use of double lumen venous umbilical catheters in
for both venous and arterial use. Patient safety has critically ill neonates is well tolerated and decreases the
been improved by the use of polyurethane, which, unlike need for additional venous catheters.(1)
traditional PVC catheters, remains inert for the life of the
catheter.
Polyurethane catheter
remains firm during insertion but softens
at body temperature, minimising vessel
trauma and enhancing stay time.
X-ray opaque
for accurate tip location without additional
contrast medium.
Numerical graduations
aid accurate tip placement.
Atraumatic tip
reduces risk of vessel damage during
insertion.
Ordering Information
1270.02 FSY023 Single lumen PUR catheter with three-way tap 2.5 300 - 2.0 8
1270.03 FSY024 Single lumen PUR catheter with three-way tap 3.5 400 - 10.0 8
1270.04 FSY025 Single lumen PUR catheter with three-way tap 4.0 400 - 10.0 20
1270.05 FSY026 Single lumen PUR catheter with three-way tap 5.0 400 - 20.0 20
1270.08 FSY027 Single lumen PUR catheter with three-way tap 8.0 400 - 70.0 20
1272.14 FSY028 Double equal lumen PUR catheter with three-way tap 4.0 200 0.26 / 0.26 15.0 / 15.0 10
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Catheters
Umbilical
Umbilical Catheters NEWBORN NEWBORN
The safest choice for short-term vascular access in neonates < 1kg > 1kg
Insertion Technique
General
1. Use strict aseptic technique and ensure maximum barrier precautions, such Catheter
4. Prime the catheter, and if required dilate the vessel using iris forceps 1
(see diagram 1).
5. Advance the catheter using short, smooth strokes.
Diagram 1 - Catheter insertion
Arterial Catheterisation
1. Place the catheter tip either at the upper aorta above the diaphragm, X-ray
T6-T10 (see table 1 and diagram 2) or in the lower aorta below the renal
arteries, X-ray L4-L5 (see table 1 and diagram 2).
IVC
2. Check the legs and buttocks for pallor or blueness and palpate the femoral T6-10
pulses. Ductus
Venosus
3. Confirm catheter location by X-ray.
Portal
4. Fixate the catheter. Vein
1. Locate the catheter tip into the inferior vena cava via the ductus venosus 2
(see diagram 2).
2. Confirm catheter location by X-ray.
3. Fixate the catheter. Diagram 2 - Catheter tip location
Please note: Any resistance to the advancement of the catheter must lead
to immediate withdrawal of the catheter by 2-3cm before any new attempt is
made. Do not cover the umbilicus with any dressing as the cord air dries in the
Table 1
incubator.
Umbilical Artery Catheter
Catheter removal: Withdraw the catheter slowly and gently. If resistance is felt, Positions
stop and identify the cause before continuing. Shoulder Umbilicus Umbilicus
umbilicus lower aorta upper aorta
length (cm) length (cm) length (cm)
8 4 10
10 5-6 12
12 6-7 15
14 8 18
16 10 20
18 10-11 22
Warnings: Avoid the use of alcohol or acetone to clean the catheter as this may result in catheter damage and premature removal.
Avoid the use of small syringes less than 10ml for bolus injections as they generate high pressures which may result in catheter damage.
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
28G Premicath NEWBORN
Neonatal catheter (PUR) with choice of introducer < 1kg
Premicath
28G Premicath has been designed specifically for use needle introducer, which is ideal for use in the tiniest of
28G
with babies under 1kg who require the smallest catheters. veins, or the slightly larger Microflash peelable cannula
As with our other polyurethane catheters Premicath which provides the added safety and security of advancing
utilises thin-wall technology to enable optimum flow rates the catheter through plastic, and the ability to completely
to be achieved. remove the cannula after line insertion.
Polyurethane catheter
remains firm during insertion but softens
at body temperature, minimising vessel
trauma and enhancing stay time.
X-ray opaque
for accurate tip location without additional
contrast medium.
Choice of introducer:
• Microflash introducer
unique split cannula, allows easy removal
from the PICC line, and eyelet gives rapid
visibility of flashback.
• Small 24G breakaway needle
for small veins.
Kit Contents
1 x Catheter 1 x Microflash introducer
or breakaway needle 0896 Bionector needle-free access devices
available separately.
Ordering Information
1261.21 FSU221 X-ray opaque graduated catheter 28 200 0.07 1.0 Breakaway needle 0.7-18-24 10
1261.22 FSU220 X-ray opaque graduated catheter 28 200 0.07 1.0 Microflash 1.1-18-20 10
1261.203 - X-ray opaque graduated pur catheter with stylet 28 200 0.07 1.0 Breakaway needle 0.7-18-24 10
1261.208 FSU263 X-ray opaque graduated pur catheter with stylet 28 200 0.07 1.0 Microflash 1.1-18-20 10
7366.510 FTR438 Breakaway needle only 24 18 - - Breakaway needle 0.7-18-24 25
7370.19 FSP244 Microflash introducer only 20 18 - - Microflash 1.1-18-20 25
*Tested at 1bar/14.5psi
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28G Premicath NEWBORN
Neonatal catheter (PUR) with choice of introducer < 1kg
Premicath
Insertion Technique
28G
Preparation for Catheter Insertion
Open using aseptic technique. Add any sterile supplementary equipment needed. Ensure maximum barrier precautions,
such as using the long line placement pack (80.199.519). Put on sterile gloves and prepare tray contents ready for
catheter insertion:
1. Draw-up saline and heparin flushes using a filter needle or straw to remove particulate material.
2. Flush catheter prior to insertion.
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
24G Nutriline Twin-Flo NEWBORN NEWBORN
Neonatal dual lumen catheter with Microflash introducer < 1kg > 1kg
24G Nutriline Twin-Flo has been designed specifically for The kit for catheter insertion includes Vygon’s Microflash
use with babies who require multiple infusions. As with introducer. This provides additional safety and security of
our other polyurethane catheters Nutriline utilises thin-wall advancing the catheter through plastic and the ability to
technology to enable optimum flow rates to be achieved. completely remove the cannula after line insertion.
24G Nutriline
Twin-Flo
Polyurethane catheter
remains firm during insertion but softens at
body temperature, minimising vessel trauma
and enhancing stay time.
X-ray opaque
for accurate tip location without additional
contrast medium.
One-piece construction
simplifies insertion.
Slide clamps
for easier line management and safety. Dual
lumen to tip
Integral extension with wing
permits secure catheter fixation, reducing
the risk of mechanical phlebitis.
Microflash introducer
unique split cannula, allows easy removal
from the PICC line, and eyelet gives rapid
visibility of flashback.
Kit Contents
1 x Catheter 1 x Neonatal Grip-LokTM
0896 Bionector needle-free access devices
1 x Microflash introducer 1 x Tape measure
available separately.
Ordering Information
1252.235 FSU252 X-ray opaque graduated dual lumen pur catheter 24 300 0.2 / 0.2 1.45 / 1.45 Microflash 1.1-18-20 10
7370.19 FSP244 Microflash introducer 20 18 - - Microflash 1.1-18-20 25
*Tested at 1 bar/14.5psi
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24G Nutriline Twin-Flo NEWBORN NEWBORN
Neonatal dual lumen catheter with Microflash introducer < 1kg > 1kg
Insertion Technique
Preparation for Catheter Insertion
Open using aseptic technique. Add any sterile supplementary equipment needed. Ensure maximum barrier precautions,
such as using the long line placement pack (80.199.519). Put on sterile gloves and prepare tray contents ready for
24G Nutriline
catheter insertion:
Twin-Flo
1. Draw-up saline and heparin flushes using a filter needle or straw to remove particulate material.
2. Flush catheter prior to insertion.
Warnings: Avoid the use of alcohol or acetone to clean the catheter as this may result in catheter damage and premature removal.
Avoid the use of small syringes less than 10ml for bolus injections as they generate high pressures which may result in catheter damage.
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
24G Nutriline NEWBORN CHILD
Peripherally inserted catheter with Microflash introducer > 1kg > 1yr
24G Nutriline’s one-piece catheter construction provides thin-wall technology to enable optimum flow rates to be
clinicians with a high degree of safety. The peelable achieved.
introducer cannula enables the catheter to be safely
Clinicians have a choice of different catheter lengths to
advanced through plastic. Additional security is provided
ensure accurate tip placement for most IV access sites.
by a small primary wing to help minimise the risk of
catheter movement and kinking. Therapy areas include long-term IV antibiotics and TPN.
Polyurethane catheter
24G
X-ray opaque
for accurate tip location without additional
contrast medium.
One-piece construction
simplifies insertion.
Slide clamp
for line management and safety.
Microflash introducer
unique split cannula, allows easy removal
from the PICC line, and eyelet gives rapid
visibility of flashback.
Kit Contents
2 x Ball swabs 1 x Filter straw 5µm
1 x Gallipot 1 x Sterile field/outer
1 x Sponge stick wrap
1 x Microflash introducer 1 x Fenestrated drape
1 x Injection membrane
1 x 10ml syringe
0896 Bionector needle-free access devices
available separately.
Ordering Information
1352.152 FSQ337 X-ray opaque graduated polyurethane catheter 24 150 0.18 9.0 0.3-0.6 1.1-18-20 10
1352.302 FSQ338 X-ray opaque graduated polyurethane catheter 24 300 0.12 5.0 0.3-0.6 1.1-18-20 10
7370.19 FSP244 Microflash introducer 20 18 1.1-18-20 25
*Tested at 1 bar/14.5psi
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24G Nutriline NEWBORN CHILD
Peripherally inserted catheter with Microflash introducer > 1kg > 1yr
Insertion Technique
Preparation for Catheter Insertion
Open using aseptic technique. Add any sterile supplementary equipment needed. Ensure you are using maximum
barrier precautions. Put on sterile gloves, prepare tray contents ready for catheter insertion:
1. Draw-up saline and heparin flushes using a filter needle or straw to remove particulate material..
2. Flush catheter prior to insertion.
Nutriline
3. Advance cannula until venepuncture is confirmed by free flowing blood into
24G
the flashback chamber (see diagram 3). Please note: With Microflash you
may see flashback from the needle eyelet. The cannula can also be
syringe-mounted if preferred.
4. Release tourniquet, advance cannula off the introducer needle and advance 1 2
gently into vessel. Please note: To avoid excessive bleeding or possible air
aspiration place a gloved finger over the cannula opening following needle
withdrawal. Insert catheter through cannula using non-toothed forceps and
short, steady strokes (see diagram 4).
Should catheter advancement become difficult, infuse a little fluid whilst
simultaneously advancing the catheter. This has the effect of dilating the vessel 3 4
distal to the catheter tip.
Warnings: Avoid the use of alcohol or acetone to clean the catheter as this may result in catheter damage and premature removal.
Avoid the use of small syringes less than 10ml for bolus injections as they generate high pressures which may result in catheter damage.
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
24G ECC NEWBORN CHILD
Manufactured from soft traditional silicone > 1kg > 1yr
24G ECC was Vygon’s first purpose-designed neonatal The ECC catheter is probably the most well recognised
PICC line. The soft silicone catheter has depth graduations paediatric catheter in the world today, enjoying over 25
to aid insertion, and sits comfortably in the vessel during years of unrivalled success.
use. Its two-part design allows the use and safe removal
of the introducer winged needle.
X-ray opaque
for accurate tip location without additional
contrast medium.
ECC
24G
Integral extension
limits catheter movement, reducing the risk
of mechanical phlebitis.
Detachable hub
allows complete removal of introducing
needle.
Kit Contents
1 x Catheter 1 x Winged needle 0896 Bionector needle-free access devices
available separately.
Ordering Information
Product Codes Size Needle Length Priming Flow Rate Flow Rate Unit of
Description
Vygon NHSSC (G) Size (G) (mm) Volume (ml) (ml/min)* (ml/min)** Sale
2184.015 FSY090 X-ray opaque graduated silicone catheter 24 19 150 0.10 0.7 5.8 30
2184.00 FSY088 X-ray opaque graduated silicone catheter 24 19 300 0.12 0.6 5.0 30
2184.005 FSY089 X-ray opaque graduated silicone catheter 24 19 500 0.16 0.5 4.0 30
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24G ECC NEWBORN CHILD
Manufactured from soft traditional silicone > 1kg > 1yr
Insertion Technique
Note: Only use needle supplied.
Check catheter patency by flushing.
Unscrew compression hub (do not
separate) and remove catheter ready
for use.
ECC
24G
5cm 10cm 15cm 20cm
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
22G Leaderflex NEWBORN CHILD
Arterial and venous applications > 1kg > 1yr
The Leaderflex range of 22G seldinger catheters are for catheter kinking. Line management is also enhanced by
use in a variety of venous and arterial applications. moving hub manipulation away from the insertion site,
Leaderflex is manufactured from polyurethane, which reducing the risk of mechanical phlebitis, which can result
offers excellent insertion and indwell characteristics. Safety in premature catheter failure.
features include: a slide clamp for safe line changes; a clear
integral extension to reduce phlebitis; and reinforcement
of the catheter/wing junction to help minimise the risk of
Polyurethane catheter
remains firm during insertion but softens
at body temperature, minimising vessel
trauma and enhancing stay time.
X-ray opaque
for accurate tip location without additional
contrast medium.
Slide clamp
for line management and safety.
Kit Contents
1 x Catheter 1 x Guidewire
1 x Needle 1 x Outer wrap 0896 Bionector and 0896.11 Bionector arterial
needle-free access devices available separately.
Ordering Information
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22G Leaderflex NEWBORN CHILD
Arterial and venous applications > 1kg > 1yr
Insertion Technique
The Idea
“I had the polyethylene catheter, the needle and the guidewire, and suddenly in a split second, there
came an attack of common sense. The sequence in which these three items ought to be used
suddenly became obvious.”
Sven-Ivar Seldinger was born in Mora, Sweden in 1921. After studying medicine at the Karolinska
Institute in Stockholm he began his diagnostic radiology training at the Karolinska Sjukhuset in 1950.
Many sensed the great potential of angiography and although methods for introducing a catheter into an artery or vein
were available, they were traumatic and involved considerable blood loss. This was the problem that Dr Seldinger set out
to solve. He submitted his initial and most important
paper on percutaneous catheterisation in 1953.
Leaderflex
22G
1 2
The Seldinger technique was,
because of its simplicity, adopted
worldwide and since its conception
has served millions, permitting safe,
simple catheterisation of virtually every
important vessel in the body.
Warnings: Avoid the use of alcohol or acetone to clean the catheter as this may result in catheter damage and premature removal.
Avoid the use of small syringes less than 10ml for bolus injections as they generate high pressures which may result in catheter damage.
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
20G Nutriline CHILD
Peripherally inserted catheter with peelable cannula > 1yr
Designed for children and young adults, Nutriline’s one As with our other polyurethane catheters Nutriline utilises
piece catheter construction provides clinicians with a thin-wall technology to enable optimum flow rates to be
high degree of safety. The peelable cannula enables the achieved without compromising the safety of the catheter.
catheter to be safely advanced through plastic. Additional
security is provided by a small primary wing to help
minimise the risk of catheter movement and kinking.
Polyurethane catheter
remains firm during insertion but softens
at body temperature, minimising vessel
trauma and enhancing stay time.
X-ray opaque
for accurate tip location without additional
contrast medium.
One-piece construction
simplifies insertion.
Slide clamp
Nutriline
20G
Peelable cannula
unique split cannula, provides the
additional safety and security of advancing
the catheter through plastic.
Kit Contents
2 x Ball swabs 1 x Filter straw 5µm
1 x Gallipot 1 x Sterile field/outer
1 x Sponge stick wrap
1 x Peelable cannula 1 x Fenestrated drape
1 x Injection membrane
1 x 10ml syringe
0896 Bionector needle-free access devices
available separately.
Ordering Information
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20G Nutriline CHILD
Peripherally inserted catheter with peelable cannula > 1yr
Insertion Technique
Preparation for Catheter Insertion
Open using aseptic technique. Add any sterile supplementary equipment needed. Ensure you are using maximum barrier
precautions. Put on sterile gloves and prepare tray contents ready for catheter insertion:
1. Draw-up saline and heparin flushes using a filter needle or straw to remove particulate material.
2. Flush catheter prior to insertion.
Nutriline
apart whilst maintaining forward pressure on the catheter, taking care not
20G
to dislodge the catheter from the vein. Finally advance the catheter to the
desired position (see diagram 1). 1
Warnings: Avoid the use of alcohol or acetone to clean the catheter as this may result in catheter damage and premature removal.
Avoid the use of small syringes less than 10ml for bolus injections as they generate high pressures which may result in catheter damage.
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
NEWBORN NEWBORN CHILD
Long Line Placement Pack < 1kg > 1kg > 1yr
Setting the standard, the long line placement pack the required components in one pack makes it easier for
provides clinicians with equipment to minimise the risk of clinicians inserting the catheter to use maximum barrier
line sepsis during insertion. The components of the pack precautions, thereby increasing the likelihood that the
have been specifically designed for neonates/paediatrics highest standard of asepsis is maintained by all clinicians.
and selected by those who insert IV lines on a daily basis.
33% of long line complications are due to line infection.(2)
Sepsis has been sited as one of the most common
complications for percutaneous long lines.(2) Having all of
Neonatal tourniquet
purpose-designed tourniquet to minimise
damage to delicate skin.
Kit Contents
1 x Opaque tray 1 x Outer wrap
1 x Prep forceps, blue 75 x 90cm
1 x Pack of Steri-Strips™ 1 x Fenestrated
Placement
Ordering Information
Product Codes
Product Description Unit of Sale
Vygon NHSSC
t
Reference en
c em f
2. Dr A. Soe and R. Buckle. Specialist a a
pl rle
Clinical Audit Programme for London,
c al ove
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Kent, Surrey and Sussex. March 2004. bi ck
Um pa
NEWBORN NEWBORN
Umbilical Placement Pack < 1kg > 1kg
The umbilical placement pack provides clinicians with Sepsis has been sited as one of the most frequent
high quality equipment to minimise the risk of line complications for umbilical catheters.(3) Having all of the
sepsis and provides convenience during insertion. required components in one pack makes it easier for
The components of the pack have been specifically clinicians inserting the catheter to use maximum barrier
designed for neonates and selected by those who precautions, thereby increasing the likelihood that the
insert umbilical lines on a daily basis. highest standard of asepsis is maintained by all clinicians.
Kit Contents
1 x Opaque tray 1 x Umbilical cotton
1 x Outer wrap 1 x Tape measure
75 x 90cm 2 x Mosquito forceps
1 x Hypodermic curved 13cm
needle 18G 1/2” 1 x Mosquito forceps
1 x Hypodermic straight 13cm
needle 20G 1/2” 1 x Iris forceps
1 x Retractable curved 10.5cm
scalpel No 11 1 x Iris forceps
2 x Drapes 45 x 75cm curved 10cm
1 x Fenstrated drape 1 x Iris forceps
Placement
with easy peel straight 10cm
Packs
50 x 50cm 1 x Iris forceps
2 x Hand towels straight with teeth
1 x Pair of suture 10.5cm
scissors 11cm 1 x Needle holder
10 x Swabs 14cm
10 x 10cm, 4ply 1 x Luer-slip
6 x Swabs syringe 1ml
5 x 5cm, 4ply 2 x Luer-lock
1 x Red gallipot syringes 3ml
60ml 2 x Luer-lock
1 x Transparent syringes 5ml
gallipot 60ml 1 x Vessel dilator
1 x Silk suture with probe 14cm
curved cutting 1 x Adhesive fixation
needle 3.0 strips
Ordering Information
Product Codes
Product Description Unit of Sale
Vygon NHSSC
Reference
Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North, Latham Road, Swindon SN25 4DL 3. Dr A. Soe and R. Buckle. Specialist
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected] Clinical Audit Programme for London,
Kent, Surrey and Sussex. March 2004.
NEWBORN NEWBORN CHILD
Education and Training < 1kg > 1kg > 1yr
As part of our ongoing commitment to education and training we can offer you the following:
Training DVDs
These have been made by clinicians for
clinicians and have been designed to guide
the new user through the essential elements of
insertion, care and maintenance of our products.
Neonatal PowerPoint
Presentation
Chapters in this presentation include:
• Why use long lines?
Education and
• Complications.
Training
Vygon (UK) Ltd, The Pierre Simonet Building, Gateway North, Swindon, SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
Summary and Measures to Prevent, Detect and NEWBORN NEWBORN
Treat Complications of Central Lines for Neonates < 1kg > 1kg
• Damaged catheter.
Extravasation
• Thrombosis blocking flow and adding
pressure at the terminal tip. • Remove the line or treat in accordance with hospital policy.
• Phlebitis with swelling, creating added
pressure.
Vygon (UK) Ltd, The Pierre Simonet Building, Gateway North, Swindon, SN25 4DL
T: 01793 748800 | F: 01793 748899 | W: www.vygon.co.uk | E: [email protected]
0009.NEO/PAED - Content correct as of 02/2012
CBP0000261702121946
Tel: 01793 748800
Fax: 01793 748899
Web: www.vygon.co.uk
Email: [email protected]