| Peripheral insertion of double-lumen central venous catheter using the Seldinger technique in newborns. | |
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MedLine Citation:
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PMID: 18200023 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To report the experience of peripheral insertion of double-lumen central catheters (PIDLCC) in preterm and term newborn infants and to analyze the technical characteristics of the procedure and any observed complications. STUDY DESIGN: Retrospective review of 61 newborns that had a PIDLCC between 2003 and 2006. The study comprised clinical data analysis, anthropometrics, indications, duration, complications and reasons for withdrawal of the catheters. RESULT: Weight of the patients was <1 kg in 10%, and >2 kg in 75%. Catheters tip placement was as aimed, mostly superior cava vein (SCV), in 65.5%, and subclavian vein in remaining 34.5% and average duration of catheterization was 13.5+/-9.6 and 8.9+/-5.8 days, respectively. Blood sampling through both lumens was possible especially when the tip was at SCV. Reasons for catheter withdrawal were end of indication (45.9%), phlebitis/edema (21.3%), suspected infection (3.2%), accidental withdrawal (3.2%) and rupture of proximal end (3.2%). In three (4.9%) patients, withdrawal was due to serious complications (two cases of pleural leakage of infusion fluid and one breakage of the metallic guide). About 16.3% of the patients died with the catheter still in situ. Infection findings were positive tip culture (14.7%) and catheter-related sepsis (3.2%). CONCLUSION: Insertion of PIDLCC is possible in neonates. The incidence of complications, mostly mechanical, requires careful evaluation of indications, and strict adherence to the procedure of insertion and manipulation. |
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Authors:
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T M Bueno; A I Diz; P Q Cervera; J Pérez-Rodríguez; J Quero |
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Publication Detail:
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Type: Journal Article Date: 2008-01-17 |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 28 ISSN: 0743-8346 ISO Abbreviation: J Perinatol Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-01 Completed Date: 2008-07-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 282-6 Citation Subset: IM |
Affiliation:
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Neonatal Unit, La Paz Children's Hospital, Madrid, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Catheterization, Central Venous
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adverse effects,
methods* Catheters, Indwelling Cohort Studies Extremities / blood supply Humans Infant, Low Birth Weight Infant, Newborn Infant, Newborn, Diseases / therapy* Infant, Premature Intensive Care, Neonatal Patient Selection Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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