How often do you use transducers with UVCs? - page 2
I am trying to gather info on how many units routinely use transducers with their UVCs. We currently use transducers on all UACs and UVCs, but the policy is up for review. Do other units have this... Read More
Jun 16, '04Occupation: Re-retired Specialty: 42 year(s) of experience in NICU, Infection Control ; From: CA, US ; Joined: Dec '00; Posts: 12,420; Likes: 3,762I think after the first day or so, I'd want a picc line for nutrition--get rid of the uvc. Also, we're talking about different kinds of babies: microdots vs big sick kids/post-ops. W/the big kids, I think you might want more than one way of looking at fluid balance?
I'm not @ a level III any longer, feel really out of the loop, but I did go to a conf recently where I heard some very interesting trends. e.g., Dopamine is o-u-t, it increases afterload and babies, especially premies, don't like afterload, it increases shunting to the lungs thru the PDA, increasing damage to the lungs. If you need a pressor, you should use Dobutamine, according to this presentor.Last edit by prmenrs on Jun 16, '04
Jun 17, '04Occupation: NICU RN Joined: Oct '00; Posts: 2,537; Likes: 369Now this poses an interesting question. Do all of you suture your lines? (meaning the peds suture them in, not you personally)
Jun 17, '04Occupation: Nurse of course! Specialty: NICU, PICU, educator ; From: US ; Joined: Feb '04; Posts: 1,838; Likes: 1,115We always suture them...I was surprised to see that Gomper's place just started!
I hear you on the high humidity...nothing sticks!
We don't use Dopa as much as we used to.
Jun 17, '04Occupation: Registered Nurse - Neonatal ICU Joined: Dec '01; Posts: 140; Likes: 1We use tranducers on our UACs but not UVCs.
Jun 18, '04Joined: May '02; Posts: 154; Likes: 3We never use a transducer on a UVC.
UAC/UVC are ALWAYS sutured and secured with opsite.
We rarely use dobutamine, mostly dopamine.
We also just stopped routine use if Indocin for micros....
Jun 18, '04Occupation: ICU Nurse Specialty: 21 year(s) of experience in Newborn ICU, Trauma ICU, Burn ICU, Peds ; From: US ; Joined: Jun '04; Posts: 265; Likes: 32Very, very rarely do we use transducers with UVC's. Always with UAC's. the readon behind not using them with UV's ia that they are inaccurate and do only show trending as previously stated in the previous replies. But trending of what? What is a normal baseline? When you put the transducer on, is the baby already in trouble? If so, then what CVP is baseline? We only use them now for a Lasix/PRBC study we are doing and occasionally on our congenital hearts.
Hope this helps!