Derrame pleural com conteúdo de nutrição parenteral total como complicação de punção venosa central em recém-nascido: um relato de caso/ Pleural effusion with total parenteral nutrition content as a complication of central venous puncture in a newborn: a case report

2021 ◽  
Vol 7 (6) ◽  
pp. 54848-54857
Author(s):  
Danilo Ferreira da Silva ◽  
Douglas Richard Carlos da Silva ◽  
Gabrielly Aguiar de Lima Silva ◽  
Gustavo Rocha Costa de Freitas ◽  
José Luiz de Figueiredo
2019 ◽  
Vol 12 (8) ◽  
pp. e230160
Author(s):  
Jyotsna M Kirtane ◽  
Snehal A Bhange ◽  
Fazal Nabi ◽  
Varshil Shah

This is a case report of a neonate who was antenatally diagnosed with jejunal atresia which turned out to be duodenal atresia with apple peel syndrome. A previous sibling, who also had apple peel but with jejunal atresia, succumbed to sepsis after surgery. The first sibling had jejunal stenosis and had died of sepsis following surgery. Combination of duodenal atresia with apple peel is extremely rare. This coupled with a familial condition is rarer still. This case was challenging due to the short length of the gut and prolonged need for total parenteral nutrition and sepsis in postoperative period.


PEDIATRICS ◽  
1986 ◽  
Vol 78 (2) ◽  
pp. 245-250 ◽  
Author(s):  
Manuel Durand ◽  
Rangasamy Ramanathan ◽  
Bruce Martinelli ◽  
Milagros Tolentino

With improved neonatal survival, especially of very low birth weight infants, our efforts should be directed toward reduction of morbidity. Sick preterm infants require total parenteral nutrition for prolonged periods of time due to extreme prematurity and feeding intolerance. However, the use of surgically placed Broviac catheters has been associated with a high complication rate. A prospective study of 53 percutaneous central venous Silastic catheterizations for administration of total parenteral nutrition was performed in 45 newborn infants. At the time of catheter insertion, 37 babies weighed less than 1,500 g and 19 weighed less than 1,000 g. Percutaneous central venous catheters were placed successfully the first time in 50 of 55 attempts. In three babies, insertion was successful on second attempt. The catheters remained in place for 25.4 ± 16.7 days ([mean ± SD] range two to 80 days). In babies weighing less than 1,000 g, the catheters remained in place for a longer period of time (34.0 ± 18.0; range 12 to 80 days). Sixty-six percent of the catheters were removed electively. There were four cases of bacteremia (7.5%), and the overall incidence of mechanical complications was 26.4%. We conclude that percutaneous central venous catheters can be used safely and effectively in newborn infants for prolonged administration of total parenteral nutrition, especially in neonates weighing less than 1,000 g.


2019 ◽  
Vol 12 (02) ◽  
pp. 061-065
Author(s):  
Rodrigo Fernandes Weyll Pimentel ◽  
Pedro Carlos Muniz Figueiredo

Abstract Introduction Achondroplasia is the most common form of dwarfism in humans. At the end of the twentieth century, achondroplasia had its natural history investigated and its morbimortality understood. In dwarves, obesity is one of the causes of morbidity, and it is difficult to evaluate it due to the great disproportion among anthropometric data. The characterization of the nutritional needs of these patients represents an interesting dilemma for physicians. In view of these difficulties, the present case report describes an alternative to obtain the ideal weight value of an elderly dwarf in the use of parenteral nutritional therapy. Case Report A 73-year-old male patient, carrier of achondroplastic dwarfism, was admitted for surgical treatment of colon adenocarcinoma. He was submitted to total colectomy with ileum-rectum anastomosis, evolving with abdominal septic shock by suture dehiscence, which was fixed, and a protective ileostomy was installed. Due to the maintenance of prolonged fasting, without the possibility of starting oral or enteral feeding, the patient used total parenteral nutrition. To estimate the total energy expenditure, we chose to ask the patient what his ideal weight was. The patient used total parenteral nutrition for eight days until he was able to meet his caloric needs orally. Conclusion In the absence of indirect calorimetry, the ideal weight mentioned by the patient seems to be a good option for the estimation of the caloric expenditure by simplified equations.


1982 ◽  
Vol 6 (6) ◽  
pp. 534-538 ◽  
Author(s):  
Jacques Di Costanzo ◽  
Jacques Martin ◽  
Noel Cano ◽  
Jean-Claude Mas ◽  
Michel Noirclerc

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