Document Detail

An unusual complication of a central venous catheter in a neonate.
MedLine Citation:
PMID:  11119201     Owner:  NLM     Status:  MEDLINE    
The use of central venous catheters in neonates is associated with early and late complications. It is recognized that catheter tip migration and perforation of a viscus can occur at any time with a potentially fatal outcome. We present a case in which the successful placement of a central line was followed 2 weeks later by a sudden respiratory deterioration necessitating intubation and ventilation. The catheter tip had eroded through the wall of a pulmonary artery and a bronchus into the bronchial tree. The report highlights the serious morbidity arising from the use of central venous lines in neonates and stresses the importance of X-rays in establishing the correct position of all catheters. A sudden change in the condition of a patient should raise the suspicion of a catheter-related problem.
J M Cupitt
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  10     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2000  
Date Detail:
Created Date:  2001-01-16     Completed Date:  2001-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  665-8     Citation Subset:  IM    
Department of Anaesthetics, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire FY3 8NR, UK.
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MeSH Terms
Bronchi / injuries*
Catheterization, Central Venous / adverse effects*
Foreign-Body Migration
Infant, Newborn
Pulmonary Artery / injuries*
Wounds, Penetrating / etiology

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