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Diagnosis and Control by Umbilical Artery Catheterization and Intra-arterial Vasopressin Infusion

Martin L. Goldman, MD; Noel Carrasco, MD; Jared K. Thomas, MD; John J. White, MD, CM

JAMA. 1985;254(21):3061-3062.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

MASSIVE upper gastrointestinal tract hemorrhage in the newborn, although rare, can be life threatening. We recently had the opportunity to diagnose and treat a 1-day-old infant with massive gastric hemorrhage by selective catheter placement and vasopressin infusion into the celiac axis through an umbilical artery catheter.

Report of a Case

A full-term, 3.85-kg, female infant was born to a 32-year-old, gravida 5, para 3 woman. Spontaneous labor began 12 hours before birth and was augmented with intravenous oxytocin (Pitocin). Artificial rupture of the membranes two hours before delivery revealed meconiumstained fluid. The baby was delivered vaginally, and initial Apgar scores were 7 and 9 at one and five minutes, respectively. Approximately 15 minutes after birth, the infant developed tachypnea and respiratory distress suspected to be secondary to meconium aspiration. Attempts to intubate and suction the meconium met with no success. There was increasingly labored breathing and lethargy. The initial blood . . . [Full Text PDF of this Article]

Author Affiliations
From the Sections of Vascular Radiology (Drs Goldman and Thomas) and Pediatric Neonatology (Dr Carrasco), and the Division of Pediatric Surgery (Dr White), Albany (NY) Medical College.

Footnotes
Reprint requests to Department of Radiology, Albany Medical Center Hospital, Albany, NY 12208 (Dr Goldman).

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