Document Detail

Total parenteral alimentation via indwelling umbilical catheters in the newborn period.
MedLine Citation:
PMID:  827978     Owner:  NLM     Status:  MEDLINE    
Total parenteral alimentation (TPA) was delivered to 80 infants via indwelling umbilical artery and to 9 via indwelling umbilical venous catheters. The primary indication for catheter placement and maintenance was monitoring of arterial blood gases (umbilical venous catheter tip in left atrium) in a group of sick neonates requiring increased inspired oxygen or assisted ventilation. Results were compared with those from 23 infants who had tunnelled jugular catheters for a variety of chronic medical and surgical problems preventing gastric or intestinal feeding. A mean weight gain was achieved in both groups. Mortality and morbidity rates were similar in both groups. The most common complications were infection and thrombotic phenomena. Metabolic complications were few. It is concluded that infusing TPA solutions via indwelling umbilical catheters presents no greater risk than infusion via tunnelled jugular catheters, and provides a method for supplying adequate caloric intake for growth during the acute stage of illness.
R T Hall; P G Rhodes
Related Documents :
1536588 - Enterobacteriaceae and neonatal necrotising enterocolitis.
10796378 - Umbilical artery catheters in the newborn: effects of catheter design (end vs side hole).
18827518 - Risk factors for necrotizing enterocolitis in preterm infants: how race, gender, and he...
9835438 - Prevention of necrotizing enterocolitis in extremely low birth weight infants by igg fe...
17207048 - New australian neonatal resuscitation guidelines.
1853718 - Postnatal head growth in very premature infants with good outcome.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  51     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  1976 Dec 
Date Detail:
Created Date:  1977-03-15     Completed Date:  1977-03-15     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  929-34     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Catheterization / adverse effects,  mortality
Infant, Newborn*
Jugular Veins
Parenteral Nutrition / methods*
Parenteral Nutrition, Total / methods*
Umbilical Arteries*
Umbilical Veins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Formation of dry-heat resistant Bacillus subtilis var. niger spores as influenced by the composition...
Next Document:  High energy feeding in protein-energy malnutrition.