Infant Journal
for neonatal and paediatric healthcare professionals

Establishing a neonatal telemedicine service in Liverpool

Fauzia Paize
Consultant Neonatologist, Liverpool Women’s Hospital
fauzia.paize@lwh.nhs.uk

Simon Minford
Advanced Paediatric Nurse Practitioner and Clinical Innovation Consultant, Alder Hey Children’s Hospital

Joanne Minford
Consultant Paediatric and Neonatal Surgeon, Alder Hey Children’s Hospital

Christopher Dewhurst
Consultant Neonatologist, Liverpool Women’s Hospital

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Keywords
umbilical central line; umbilical arterial catheter; umbilical venous catheter; ultrasound-guided insertion of a central line; functional echocardiography
Key points
  1. Direct visualisation of the umbilical catheter by ultrasound is one of the best modalities for adjusting a UVC and UAC.
  2. This method can save time needed to help transition a critically ill neonate.
  3. Ultrasound-guided insertion of a UVC or UAC requires fewer X-rays (hence radiation) and less manipulation and handling of the neonate, helping to maintain temperature and reduce the risk of infection.