Peripherally inserted central venous catheters in preterm newborns: two unusual complications

Summary This report describes the case of two newborns who suffered unusual complications after peripheral insertion of a central venous catheter. In one baby a fragment of the catheter tip became embolized in a peripheral branch of the left pulmonary artery. In the other baby, the catheter perforat...

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Bibliographic Details
Published in:Pediatric anesthesia 2004-02, Vol.14 (2), p.184-187
Main Authors: Pigna, A., Bachiocco, V., Fae, M., Cuppini, F.
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - instrumentation
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - instrumentation
complications
Equipment Failure
Esophageal Atresia - surgery
Gastroschisis - surgery
High-Frequency Ventilation
Humans
Infant, Newborn
Infant, Premature
Lung - diagnostic imaging
Male
Medical sciences
peripherally inserted central catheters
Pleural Effusion - etiology
Pleural Effusion - therapy
Pneumonia - etiology
Pneumonia - therapy
preterm newborns
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - injuries
Pulmonary Embolism - etiology
Radiography
Respiration, Artificial
Respiratory Distress Syndrome, Adult - etiology
Respiratory Distress Syndrome, Adult - therapy
Tracheoesophageal Fistula - surgery
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Summary:Summary This report describes the case of two newborns who suffered unusual complications after peripheral insertion of a central venous catheter. In one baby a fragment of the catheter tip became embolized in a peripheral branch of the left pulmonary artery. In the other baby, the catheter perforated a peripheral branch of the pulmonary artery, giving rise to chemical pneumonitis with extensive pleural effusion. The outcome was positive for both babies. A large clinical series is necessary to establish the complications of this procedure, their prevention and management.
ISSN:1155-5645
1460-9592
DOI:10.1111/j.1460-9592.2004.01122.x