1. Perforation of Umbilical artery during insertion of UAC

    I would like to congratulate and thank you for taking the courage in publishing this case report for the benefit of the neonatal trainees and all neonatologist in general. I am not surprised that there aren't more case reports published as such cases tend not be published because of general feeling of guilt for negligence and not exposing the hospital for fear of bad name as the outcome is very poor as you rightly pointed out. I am personally aware of few such incidents from different hospitals though not directly involved in the care .Also because of the poor outcome and distress which these incidents cause to the family there is reluctance to get consent . Health industry is a risky business and specially in the neonatal units due to our heroic efforts to save the tiny babies unavoidable complications can occur.There is also an incessant desire to succeed in performing procedures on the part of the junior doctors, so more than acceptable attempts are seen in general to be made with different procedures like intubations , long line insertions,umbilical catheterizations etc, which increase the chances of undesirable outcomes. This can be witnessed in all the units from time to time which increase the chances of undesirable outcomes and if the doctors share such experiences then the wider doctor's community can benefit from other people's experiences in reducing the incidences of undesirable outcomes and thus help the babies /patients ultimately with a more positive experience .

    Conflict of Interest:

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