Catheter-related complications of total parenteral nutrition in infants

Seibert, Joanna J.; Weinstein, Mary; Erenberg, Allen

doi:10.1007/bf02461531

Cited by 18 publications

(5 citation statements)

References 13 publications

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“…2) The most frequent complication is thrombosis [2,5,6,8,12,13,17] around the catheter or vessel walls, being equally common in catheters in correct or anomalous positions. 3) Calcareous deposits are met with after approximately 1 month of perfusion [5][6][7]12].…”

Section: Discussionmentioning

confidence: 99%

“…3) Calcareous deposits are met with after approximately 1 month of perfusion [5][6][7]12]. 4) Even slight dyspnea and swelling of the soft tissues of the neck or upper portion of the trunk, should always be regarded as potential evidence of serious complications [4,9,10,13,15,16,17]. X-ray examinations must be performed urgently, maybe with injection of a contrast medium.…”

Section: Discussionmentioning

confidence: 99%

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Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey

1984

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Sixty consecutive patients, except for one 7-year-old patient, their ages varying from 1 day to 12 months received total intravenous hyperalimentation (TIH). It was possible to observe non-pathological catheter malpositions and, in 14 patients, other complications. The most serious complications observed included the following: thrombus and pericatheter thrombus calcification; superior vena cava thrombotic occlusion; hydrothorax; mediastinal effusion; generalized septic arthritis; venous transfixion with flooding of the soft tissues of the neck; vein wall lesions; collateral vertebral circulation; and a catheter tip blocked in vein. A brief comment is given on the use of this procedure and what may happen.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey

1984

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“…Recent reports, however, show that high quality bone scintigraphy can be very accurate in diagnosing neonatal osteomyelitis [6]. Osteomyelitis of a multifocal variety with frequent joint involvement and severe residual skeletal deformities have been previously reported in high-risk, premature infants requiring umbilical artery catheterization [7] and in infants with longterm hyperalimentation [1,8]. Similar long bone changes have been reported recently in children post infantile meningococcemia with multiple irregular ball-and-socket deformities of the ends of long bones and cone-shaped epiphyses, probably secondary to embolization of epiphyseal vessels [9].…”

Section: Discussionmentioning

confidence: 97%

Acquired bone dysplasia secondary to catheter-related complications in the neonate

et al. 1986

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Four neonates presented with leg-length discrepancy in the first and second year of life, secondary to physeal growth arrest. All four had stormy postnatal periods, requiring indwelling arterial and/or hyperalimentation catheters. One had documented osteomyelitis. In the last three cases, the growth disturbance may have been secondary to aseptic emboli to the bones from the indwelling catheters. In two cases, there was evidence of other nonseptic embolic phenomena.

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“…Suspected erosion, with resultant right hydrothorax, has been described in a low birthweight newborn. 9 The infant survived after thoracentesis and removal of the catheter. Iberti et al 13 described two adults with 16 gauge polyurethane catheters placed through the left internal jugular vein and passed into the superior vena cava.…”

Section: Discussionmentioning

confidence: 99%

Right-Sided Hydrothorax and Central Venous Catheters in Extremely Low Birthweight Infants

Seguin¹

1992

Amer J Perinatol

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Central venous catheters (CVCs) have become more common in the care of very low birthweight newborns. Nutrition is enhanced, fluid delivery is more secure, and stress from the intervention of starting new IVs is reduced. Complications of these devices include infection, thrombus or embolus, damage to vessels and organs, and extravascular collections of fluid. Pleural fluid collections can occur due to superior vena caval obstruction with obstruction of lymphatic drainage, and erosion or perforation of the catheter through the vein into the pleural space. Three infants weighing less than 1000 gm had CVCs placed in an antecubital vein. Severe respiratory compromise developed in 1 at 5, 1 at 6, and 1 at 40 hours after line placement, and chest radiograph suggested fluid in the right pleural space. Milky fluid was found in two cases in which the infants received lipid emulsion and parenteral nutrition fluid (PNF). Bright yellow fluid, resembling PNF, was found in the third, not receiving lipids. None of the patients was enterally fed. The tips of the CVCs were adjusted to a more peripheral location and there was no recurrence of pleural fluid, nor were signs of superior vena cava syndrome seen. Etiologies for the unilateral hydrothorax include vein perforation and erosion, but another cause is discussed. A right pleural fluid collection in a patient with a CVC tip in the right subclavian vein is a serious problem, which may be solved with repositioning of the CVC instead of removal.

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Catheter-related complications of total parenteral nutrition in infants

Cited by 18 publications

References 13 publications

Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey

Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey

Acquired bone dysplasia secondary to catheter-related complications in the neonate

Right-Sided Hydrothorax and Central Venous Catheters in Extremely Low Birthweight Infants

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