Extravascular collection of fluid around the vertebra resulting from malpositioning of a peripherally inserted central venous catheter in extremely low birth weight infants

2002 ◽  
Vol 30 (4) ◽  
Author(s):  
N. Mitsufuji ◽  
K. Matsuo ◽  
S. Kakita ◽  
H. Ikuta
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Extremely Low Birth Weight ◽  
Central Venous ◽  
Low Birth Weight Infants

scholarly journals Late onset sepsis and intestinal bacterial colonization in very low birth weight infants receiving long-term parenteral nutrition

2011 ◽  
Vol 44 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Priscila Castro Cordeiro Fernandes ◽  
Elias Jose Oliveira von Dolinger ◽  
Vânia Olivetti Steffen Abdallah ◽  
Daiane Silva Resende ◽  
Paulo Pinto Gontijo Filho ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Parenteral Nutrition ◽  
Very Low Birth Weight ◽  
Late Onset ◽  
Venous Catheter ◽  
Central Venous ◽  
Low Birth Weight Infants ◽  
Late Onset Sepsis

INTRODUCTION: The purpose of this study was to establish the late onset sepsis (LOS) rate of our service, characterize the intestinal microbiota and evaluate a possible association between gut flora and sepsis in surgical infants who were receiving parenteral nutrition (PN). METHODS: Surveillance cultures of the gut were taken at the start of PN and thereafter once a week. Specimens for blood culture were collected based on clinical criteria established by the medical staff. The central venous catheter (CVC) tip was removed under aseptic conditions. Standard laboratory methods were used to identify the microorganisms that grew on cultures of gut, blood and CVC tip. RESULTS: 74 very low birth weight infants were analyzed. All the infants were receiving PN and antibiotics when the gut culture was started. In total, 21 (28.4%) infants experienced 28 episodes of LOS with no identified source. Coagulase negative staphylococci were the most common bacteria identified, both in the intestine (74.2%) and blood (67.8%). All infections occurred in patients who received PN through a central venous catheter. Six infants experienced episodes of microbial translocation. CONCLUSIONS: In this study, LOS was the most frequent episode in neonates receiving parenteral nutrition who had been submitted to surgery; 28.6% of this infection was probably a gut-derived phenomenon and requires novel strategies for prevention.

Percutaneous central venous catheter use in the very low birth weight neonate

1995 ◽  
Vol 154 (2) ◽  
pp. 145-147
Author(s):  
P. A. Cairns ◽  
D. C. Wilson ◽  
B. G. McClure ◽  
H. L. Halliday ◽  
M. McReid
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Central Venous ◽  
Birth Weight Neonate ◽  
Percutaneous Central Venous Catheter

Use of Central Venous Catheter and Peripheral Venous Catheter as Risk Factors for Nosocomial Bloodstream Infection in Very-Low-Birth-Weight Infants

2010 ◽  
Vol 31 (4) ◽  
pp. 395-401 ◽  
Author(s):  
Christine Geffers ◽  
Anne Gastmeier ◽  
Frank Schwab ◽  
Katrin Groneberg ◽  
Henning Rüden ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Central Venous ◽  
Vlbw Infants ◽  
Peripheral Venous Catheter

Objective.To describe the relationship between the use of central and peripheral venous catheters and the risk of nosocomial, primary, laboratory-confirmed bloodstream infection (BSI) for neonates with a birth weight less than 1,500 g (very-low-birth-weight [VLBW] infants).Methods.Cox proportional hazard regression analysis with time-dependent variable was used to determine the risk factors for the occurrence of BSI in a cohort of VLBW infants. We analyzed previously collected surveillance data from the German national nosocomial surveillance system for VLBW infants. All VLBW infants in 22 participating neonatal departments who had a complete daily record of patient information were included.Results.Of 2,126 VLBW infants, 261 (12.3%) developed a BSI. The incidence density for BSI was 3.3 per 1,000 patient-days. The multivariate analysis identified the following significant independent risk factors for BSI: lower birth weight (hazard ratio [HR], 1.1–2.2), vaginal delivery (HR, 1.5), central venous catheter use (HR, 6.2) or peripheral venous catheter use (HR, 6.0) within 2 days before developing BSI, and the individual departments (HR, 0.0–4.6).Conclusions.After adjusting for other risk factors, use of peripheral venous catheter and use of central venous catheter were significantly related to occurrence of BSI in VLBW infants.

Percutaneous central venous catheter use in the very low birth weight neonate

1995 ◽  
Vol 154 (2) ◽  
pp. 145-147 ◽  
Author(s):  
P. A. Cairns ◽  
D. C. Wilson ◽  
B. G. McClure ◽  
H. L. Halliday ◽  
M. McReid
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Central Venous Catheter ◽  
Very Low Birth Weight ◽  
Venous Catheter ◽  
Central Venous ◽  
Birth Weight Neonate ◽  
Percutaneous Central Venous Catheter

Percutaneous Inserted Venous Catheter via Femoral Vein in Extremely Low-Birth-Weight Infants: A Single-Center Experience

2019 ◽  
Vol 37 (14) ◽  
pp. 1432-1437
Author(s):  
Elena Bergón-Sendín ◽  
María Soriano-Ramos ◽  
María Dolores Méndez-Marín ◽  
Mónica De Miguel-Moya ◽  
Diego Fontiveros-Escalona ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Success Rate ◽  
Femoral Vein ◽  
Small Diameter ◽  
Venous Catheter ◽  
Extremely Low Birth Weight ◽  
Coagulase Negative Staphylococcus ◽  
Low Birth Weight Infants ◽  
Dwelling Time

Objective This study aimed to assess the applicability of the insertion of small diameter catheters through the femoral vein in extremely low-birth-weight (ELBW) infants. Study Design All femoral small diameter catheters (Silastic or femoral arterial catheter [FAC]) inserted in ELBW infants in a tertiary level neonatal intensive care unit were retrospectively reviewed. Success rate, dwelling time, and percutaneously inserted central venous catheter–related complications were recorded. Results Thirteen small diameter catheters were inserted in seven ELBW infants. Mean gestational age at birth was 25+3 weeks (standard deviation [SD] ± 2.12) and mean birth weight was 686 g (SD ± 204.9). Mean weight at the first time of insertion was 1,044 g (SD ± 376.3). In two occasions, a FAC was used instead of a Silastic. In most cases (11/13, 84.6%), the patient was intubated prior to the procedure. The mean dwelling time was 16.7 days (SD ± 9.8). Most of the inserted small diameter catheters were removed electively (8/12, 66.7%), except for one episode of clinical sepsis from coagulase-negative Staphylococcus and three cases of accidental line extravasation. No other complications were reported. The success rate was 92.3%. Conclusion Femoral venous catheterization using small diameter catheters in ELBW infants may be promising when other routes have been exhausted. Our results support that it is a feasible technique that can be performed at the bedside with successful results when conducted by experienced personnel.

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