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Archives of Disease in Childhood 2003;88:5; doi:10.1136/adc.88.1.5
Copyright © 2003 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood 2003;88:5
© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health

Images in paediatrics

Cold light transillumination as an aid to umbilical catheterisation

V P Balasubramaniam, S Yasin, D S Urquhart, R M Nicholl

Neonatal Intensive Care Unit, Northwick Park Hospital, Harrow HA1 3UJ, UK; vpbals@doctors.org.uk

Keywords: cold light; transillumination; umbilical catheterisation

The first 100% of the full text of this article appears below.

A technique using cold light transillumination has been reported for cannulation of peripheral vessels in the newborn.1 Here we show its use in the catheterisation of umbilical vessels. We encountered difficulty in inserting a catheter into a bruised umbilical cord and transillumination helped us to identify the exact pathway of the vessels (see fig). Aseptic technique is maintained by placing the cold light into the finger of a sterile glove. The technique also helps to identify false passage of umbilical catheters. Sterile technique and an extra pair of hands for its usage may limit its use in difficult situations rather than in routine practice.2


  1. Pearce RG. Percutaneous catheterisation of the radial artery in newborn babies using transillumination. Arch Dis Child 1978;53:549–54.[Abstract/Free Full Text]
  2. Mbamalu D, Banerjee A. Methods of obtaining peripheral venous access in difficult situations. Postgrad Med J 1999;76:459–62.

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