A Case of Unilateral Pleural Effusion Due to Percutaneously Inserted Central Venous Catheterization.
- Author:
Hee Young NAM
1
;
Cho Ae LEE
;
Kyu Hyung LEE
Author Information
1. Department of Pediatrics, Pochon CHA University, Sungnam, Korea. ia0021@hanmail.net
- Publication Type:Case Report
- Keywords:
Percutaneously inserted central venous catheter;
Pleural effusion
- MeSH:
Cardiac Tamponade;
Catheterization, Central Venous*;
Catheters;
Central Venous Catheters*;
Fatal Outcome;
Hemothorax;
Humans;
Infant, Newborn;
Infant, Premature;
Parenteral Nutrition;
Pericardial Effusion;
Pleural Effusion*;
Pneumonia;
Pneumothorax;
Sepsis;
Thrombosis
- From:Journal of the Korean Society of Neonatology
2006;13(1):171-175
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneously inserted central venous catheterization (PICC) is commonly used for the management of preterm infants and surgical newborn babies to provide intravenous access for prolonged therapy and parenteral nutrition. Insertion of PICC in neonate has been associated with both immediate and late complications. The immediate complications include catheter malposition, pneumothorax and hemothorax usually secondary to the insertion procedure. Late complications are sepsis, thrombosis, catheter tip migration, vessel perforation, cardiac tamponade, pericardial effusion, pleural effusion and chemical pneumonitis. It is recognized that catheter tip migration can occur at any time with potentially fatal outcome. We report here a newborn infant that successful PICC placement was followed a few days later by the development of a unilateral pleural effusion due to migration of the cathter tip, with a brief review of the literatures.
