Document Detail


A previously undescribed etiology for oliguria in a premature infant with a peripherally inserted central catheter.
MedLine Citation:
PMID:  20386368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Desi M Wolfe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2010-04-13     Completed Date:  2010-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-9     Citation Subset:  IM    
Affiliation:
Neonatology, Wake Medical Center, 3000 New Bern Avenue, Raleigh, NC 27610, USA. dwolfe@wakemed.org
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MeSH Terms
Descriptor/Qualifier:
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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