| A previously undescribed etiology for oliguria in a premature infant with a peripherally inserted central catheter. | |
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MedLine Citation:
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PMID: 20386368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Peripherally inserted central catheter use has become widespread in the management of premature infants as a means to provide long-term intravenous therapy and nutritional support until enteral feedings can be established. Peripherally inserted central catheters are not without complications. This article describes the case of a premature infant with oliguria with the suspected etiology of a malpositioned catheter tip at a location where it was either occluding/blocking the renal vein(s) or causing damage to the kidney(s) from administration of hypertonic total parenteral nutrition solution directly into the renal vein(s). Peripherally inserted central catheter position should be verified radiographically and evaluated serially in any infant, even more so in an infant with symptoms of oliguria and possible sepsis. |
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Authors:
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Desi M Wolfe |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Advances in neonatal care : official journal of the National Association of Neonatal Nurses Volume: 10 ISSN: 1536-0911 ISO Abbreviation: Adv Neonatal Care Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-13 Completed Date: 2010-07-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101125644 Medline TA: Adv Neonatal Care Country: United States |
Other Details:
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Languages: eng Pagination: 56-9 Citation Subset: IM |
Affiliation:
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Neonatology, Wake Medical Center, 3000 New Bern Avenue, Raleigh, NC 27610, USA. dwolfe@wakemed.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bandages Catheterization, Central Venous / adverse effects*, instrumentation, nursing Catheterization, Peripheral / adverse effects*, instrumentation, nursing Constriction, Pathologic / etiology, radiography Diagnosis, Differential Equipment Failure Humans Infant, Newborn Infant, Premature, Diseases / etiology*, prevention & control, radiography Neonatal Nursing Oliguria / etiology*, prevention & control, radiography Parenteral Nutrition, Total / instrumentation, nursing Practice Guidelines as Topic Renal Veins* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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