Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation.

IF 2.1 3区 医学 Q2 PEDIATRICS
Frontiers in Pediatrics Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1602098
Carolina Coramusi, Jessica F Toro, Ramón G Pabón, Mario Barreto, Giovanni Di Nardo, Pasquale Parisi, Claudia C M Marín
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引用次数: 0

Abstract

Central venous catheters (CVCs) are essential in neonatal care units to ensure prolonged venous access. Despite experienced CVC placement, managing fragile and small newborn vessels involves the risk of traumatic and iatrogenic complications. The most common include phlebitis, thrombosis, sepsis, and catheter displacement. Rarely, catheter displacement may lead to fluid accumulation around serous membranes and adjacent organs, which, if not identified early, can even result in neonatal death. We report two cases: one of neonatal hydrothorax with subsequent lung cystic formation after a parenteral nutrition leakage caused by the displacement of an Epicutaneo-Caval Catheter in the basilic vein of the left arm; the second involves a peritoneal collection of parenteral nutrition from the umbilical venous catheter.

病例报告:新生儿中心导尿管少见并发症:2例肠外营养物质外渗。
中心静脉导管(CVCs)是必不可少的新生儿护理单位,以确保延长静脉通道。尽管有经验的CVC放置,处理脆弱和小的新生儿血管涉及创伤和医源性并发症的风险。最常见的包括静脉炎、血栓、败血症和导管移位。极少数情况下,导管移位可能导致浆膜和邻近器官周围的液体积聚,如果不及早发现,甚至可能导致新生儿死亡。我们报告了两个病例:一例新生儿胸腔积液,随后肺部囊性形成,是由于左臂基底静脉的外壁腔静脉导管移位引起的肠外营养泄漏;第二种方法是通过脐静脉导管通过腹膜收集肠外营养。
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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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