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Invasive Prozeduren

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Obladens Neugeborenenintensivmedizin
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Zusammenfassung

Auch wenn Neugeborenenintensivmedizin möglichst schonend und wenig invasiv ist, gibt es doch einige invasive Prozeduren, die in vital bedrohlichen Situationen lebensrettend sein können und die deshalb beherrscht werden müssen. Dazu zählen die endotracheale Intubation, die Anlage von Nabelgefäßkathetern und die Entlastungspunktion bei Pneumothorax und Pneumoperikard. In diesem Kapitel werden die Vorbereitung und die technische Durchführung wie auch Maßnahmen zur Vermeidung von Komplikationen beschrieben.

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Literatur

  1. Ainsworth S, McGuire W (2015) Percutaneous central venous catheters versus peripheral cannulae for delivery of parenteral nutrition in neonates. Cochrane Database Syst Rev 2015(10):CD004219

    Google Scholar 

  2. Avino D, Zhang WH, De Villé A, Johansson AB (2014) Remifentanil versus morphine-midazolam premedication on the quality of endotracheal intubation in neonates: a noninferiority randomized trial. J Pediatr 164(5):1032–1037

    Google Scholar 

  3. Balain M, Oddie SJ, McGuire W (2015) Antimicrobial-impregnated central venous catheters for prevention of catheter-related bloodstream infection in newborn infants. Cochrane Database Syst Rev 2015(9):CD011078

    Google Scholar 

  4. Barrington KJ (2000) Umbilical artery catheters in the newborn: effects of catheter design (end vs side hole). Cochrane Database Syst Rev 1999(2):CD000508

    Google Scholar 

  5. Barrington KJ (2000) Umbilical artery catheters in the newborn: effects of heparin. Cochrane Database Syst Rev 1999(2):CD000507

    Google Scholar 

  6. Barrington KJ (2000) Umbilical artery catheters in the newborn: effects of position of the catheter tip. Cochrane Database Syst Rev 1999(2):CD000505

    Google Scholar 

  7. Bersani I, Piersigilli F, Iacona G, Savarese I, Campi F, Dotta A, et al. (2021) Incidence of umbilical vein catheter-associated thrombosis of the portal system: a systematic review and meta-analysis. World J Hepatol 13(11):1802–1815

    Article  PubMed  PubMed Central  Google Scholar 

  8. Carbajal R, Eble B, Anand KJ (2007) Premedication for tracheal intubation in neonates: confusion or controversy? Semin Perinatol 31(5):309–317

    Article  PubMed  Google Scholar 

  9. Chaudhary R, Chonat S, Gowda H, Clarke P, Curley A (2009) Use of premedication for intubation in tertiary neonatal units in the United Kingdom. Paediatr Anaesth 19(7):653–658

    Article  PubMed  Google Scholar 

  10. Choong K, AlFaleh K, Doucette J, Gray S, Rich B, Verhey L, Paes B (2010) Remifentanil for endotracheal intubation in neonates: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 95(2):F80–F84

    Article  CAS  PubMed  Google Scholar 

  11. Dunn PM (1966) Localization of the umbilical catheter by post-mortem measurement. Arch Dis Child 41(215):69–75

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Foster JP, Richards R, Showell MG, Jones LJ (2015) Intravenous in-line filters for preventing morbidity and mortality in neonates. Cochrane Database Syst Rev 2015(8):CD005248

    Google Scholar 

  13. Garland JS, Alex CP, Henrickson KJ, McAuliffe TL, Maki DG (2005) A vancomycin-heparin lock solution for prevention of nosocomial bloodstream infection in critically ill neonates with peripherally inserted central venous catheters: a prospective, randomized trial. Pediatrics 116(2):e198–e205

    Article  PubMed  Google Scholar 

  14. Geffers C, Gastmeier A, Schwab F, Groneberg K, Rüden H, Gastmeier P (2010) Use of central venous catheter and peripheral venous catheter as risk factors for nosocomial bloodstream infection in very-low-birth-weight infants. Infect Control Hosp Epidemiol 31(4):395–401

    Article  PubMed  Google Scholar 

  15. Gilbert R, Brown M, Faria R, Fraser C, Donohue C, Rainford N, et al. (2020) Antimicrobial-impregnated central venous catheters for preventing neonatal bloodstream infection: the PREVAIL RCT. Health Technol Assess 24(57):1–190

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hall NJ, Hartley J, Ade-Ajayi N, Laughlan K, Roebuck D, Kleidon T, et al. (2005) Bacterial contamination of central venous catheters during insertion: a double blind randomised controlled trial. Pediatr Surg Int 21(7):507–511

    Article  CAS  PubMed  Google Scholar 

  17. Inglis GD, Davies MW (2005) Prophylactic antibiotics to reduce morbidity and mortality in neonates with umbilical venous catheters. Cochrane Database Syst Rev 2005(4):CD005251

    PubMed  PubMed Central  Google Scholar 

  18. Inglis GD, Jardine LA, Davies MW (2007) Prophylactic antibiotics to reduce morbidity and mortality in neonates with umbilical artery catheters. Cochrane Database Syst Rev 2007(4):CD004697

    PubMed  PubMed Central  Google Scholar 

  19. Jardine LA, Inglis GD, Davies MW (2008) Prophylactic systemic antibiotics to reduce morbidity and mortality in neonates with central venous catheters. Cochrane Database Syst Rev 2008(1):CD006179

    PubMed  PubMed Central  Google Scholar 

  20. Kabra NS, Kumar M, Shah SS (2005) Multiple versus single lumen umbilical venous catheters for newborn infants. Cochrane Database Syst Rev 2005(3):CD004498

    PubMed  PubMed Central  Google Scholar 

  21. Lai M, Inglis GD, Hose K, Jardine LA, Davies MW (2014) Methods for securing endotracheal tubes in newborn infants. Cochrane Database Syst Rev 7(7):CD007805

    Google Scholar 

  22. Lai NM, Lai NA, O’Riordan E, Chaiyakunapruk N, Taylor JE, Tan K (2016) Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database Syst Rev 7(7):CD010140

    Google Scholar 

  23. Lai NM, Taylor JE, Tan K, Choo YM, Ahmad Kamar A, Muhamad NA (2016) Antimicrobial dressings for the prevention of catheter-related infections in newborn infants with central venous catheters. Cochrane Database Syst Rev 3(3):CD011082

    Google Scholar 

  24. Leistner R, Thürnagel S, Schwab F, Piening B, Gastmeier P, Geffers C (2013) The impact of staffing on central venous catheter-associated bloodstream infections in preterm neonates – results of nation-wide cohort study in Germany. Antimicrob Resist Infect Control 2(1):11

    Article  PubMed  PubMed Central  Google Scholar 

  25. McMullan RL, Gordon A (2018) Antibiotics at the time of removal of central venous catheter to reduce morbidity and mortality in newborn infants. Cochrane Database Syst Rev 3(3):CD012181

    Google Scholar 

  26. Panza R, Prontera G, Ives KN, Zivanovic S, Roehr CC, Quercia M, et al. (2020) Pigtail catheters versus traditional chest drains for pneumothorax treatment in two NICUs. Eur J Pediatr 179(1):73–79

    Article  PubMed  Google Scholar 

  27. Penido MG, de Oliveira Silva DF, Tavares EC, Silva YP (2011) Propofol versus midazolam for intubating preterm neonates: a randomized controlled trial. J Perinatol 31(5):356–360

    Article  CAS  PubMed  Google Scholar 

  28. Shah PS, Shah VS (2008) Continuous heparin infusion to prevent thrombosis and catheter occlusion in neonates with peripherally placed percutaneous central venous catheters. Cochrane Database Syst Rev (2):CD002772

    Google Scholar 

  29. Spence K, Barr P (2000) Nasal versus oral intubation for mechanical ventilation of newborn infants. Cochrane Database Syst Rev 1999(2):CD000948

    PubMed  Google Scholar 

  30. Taylor JE, Tan K, Lai NM, McDonald SJ (2015) Antibiotic lock for the prevention of catheter-related infection in neonates. Cochrane Database Syst Rev 6(6):CD010336

    Google Scholar 

  31. VanLooy JW, Schumacher RE, Bhatt-Mehta V (2008) Efficacy of a premedication algorithm for nonemergent intubation in a neonatal intensive care unit. Ann Pharmacother 42(7):947–955

    Article  CAS  PubMed  Google Scholar 

  32. Welzing L, Kribs A, Eifinger F, Huenseler C, Oberthuer A, Roth B (2010) Propofol as an induction agent for endotracheal intubation can cause significant arterial hypotension in preterm neonates. Paediatr Anaesth 20(7):605–611

    Article  PubMed  Google Scholar 

  33. Zemlin M, Buxmann H, Felgentreff S, Wittekindt B, Goedicke-Fritz S, Rogosch T, et al. (2021) Different effects of two protocols for pre-procedural analgosedation on vital signs in neonates during and after endotracheal intubation. Klin Padiatr 233(4):181–188

    Google Scholar 

  34. Zimmermann P, Curtis N (2021) Normal values for cerebrospinal fluid in neonates: a systematic review. Neonatology 118(6):629–638

    Article  PubMed  Google Scholar 

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Correspondence to Rolf F. Maier .

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© 2023 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature

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Maier, R.F. (2023). Invasive Prozeduren. In: Obladens Neugeborenenintensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66572-5_19

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  • DOI: https://doi.org/10.1007/978-3-662-66572-5_19

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