Doulble lumen UAC v/s double lumen UVC

[aimeern31]

Our neonatologists are discussing using DLUAC's as opposed to DLUVC and a SLUAC as is our current practice. My medical director stated that is what some units use routinely. I have tried doing a lit search and came up empty regarding this subject. Any thoughts or ideas would be appreciated

[fulitarn, BSN, RN]

My facility uses DL UVC lines frequently, as often as we can get them in actually. it allows for infusion of more than one drip/pressor/med at the same time. Lots of meds may be incompatible but have terminal site compatibility. We do not use DL UAC lines.

[chare]

As you, I also performed a quick internet search and was unable to locate anything pertaining to using a double lumen catheter in the UAC. I have heard, but can't confirm, that some units infuse TPN and/or maintenance IV fluids through the umbilical artery. If your unit does this, then there is some use to a double lumen UAC, as this allows a dedicated lumen for continuous blood pressure monitoring and blood draws.

Did your medical director happen to mention why these units were doing this? Please let us know if you your unit implements this, and what the rationale was.

[KRVRN, BSN, RN]

What would be the point of a DL UAC? The list of meds that can infuse via a UAC is limited. If you're getting rid of DL UVC's then you're going to be starting more saline locks. Doctors may not realize that.

[NicuGal, MSN, RN]

Dbl lumen UAC's also sometimes don't give a good BP reading. We have had a few fellows accid ntly put them in (we aren't at the bedside to check stuff, bad docs!). Also, you can't put pressers and many meds thru arterial lines. I'd ask what there source is.

[preemiepoweredRN]

I've only seen single lumen UACs and double lumen UVCs in my practice. What benefit did the director anticipate using the double UAC line/why the change in practice?

[Coffee Nurse, BSN, RN]

And surely you'd have to infuse something TKO via both lumens, eating into your fluid allowance (especially for micropreemies)?

[ScammRNC]

What is the practice if the medical team is unable to place a UVC?