Document Detail


Low cardiac output secondary to a malpositioned umbilical venous catheter: value of targeted neonatal echocardiography.
MedLine Citation:
PMID:  25032055     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Systemic hypotension is common in very low birthweight preterm infants but the nature of the precipitating cause may be unclear. Targeted neonatal echocardiography (TnEcho) is being increasingly used to support hemodynamic decisions in the neonatal intensive care unit (NICU), including identifying impairments in the transitional circulation of preterm infants, providing timely re-evaluation after institution of therapies and evaluating the placement of indwelling catheters. We present a case of a preterm infant with systemic hypotension and low cardiac output secondary to a large transatrial shunt induced by a malpositioned umbilical venous catheter. Repositioning of the line led to resolution of the hemodynamic disturbance and clinical instability, highlighting the utility of TnEcho in the NICU.
Authors:
Dany E Weisz; Wei Bing Poon; Andrew James; Patrick J McNamara
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Publication Detail:
Type:  Journal Article     Date:  2014-03-03
Journal Detail:
Title:  AJP reports     Volume:  4     ISSN:  2157-6998     ISO Abbreviation:  AJP Rep     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-07-17     Completed Date:  2014-07-17     Revised Date:  2014-07-21    
Medline Journal Info:
Nlm Unique ID:  101569862     Medline TA:  AJP Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  23-8     Citation Subset:  -    
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