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Risk Factors of Central Venous Catheter Leakage in Neonatal Intensive Care Unit
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논문 기본 정보

Type
Academic journal
Author
Young Duck Kim (Chung-Ang University) Lee Na Mi (중앙대학교) Su Yeong Kim (Chung-Ang University) Yi Dae Yong (중앙대학교) Yun Sin Weon (중앙대학교) Soo Ahn Chae (Chung-Ang University) In Seok Lim (Chung-Ang University)
Journal
Korean Society of Perinatology Perinatology Perinatology Vol.30 No.2 KCI Accredited Journals
Published
2019.1
Pages
60 - 65 (6page)

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Risk Factors of Central Venous Catheter Leakage in Neonatal Intensive Care Unit
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Objective: Leakage of central venous catheter in neonatal intensive care unit (NICU) is a serious complication that can lead to death. The purpose of this study was to identify the clinical signs of central venous catheter leakage, with related risk factors and to establish preventive measures. Methods: This was a retrospective study of neonates admitted to the NICU between March 2012 and March 2017. Medical records and imaging were reviewed for clinical course and risk factors. Results: Total 603 neonates with central venous catheter were enrolled. Through fluid analysis, a total of 8 central venous leakages were identified (incidence 1.3%, 5 pericardial effusions, 1 pleural effusion, 2 ascites). After an average of 66.3 hours, leakage occurred from central venous catheterization. The mean volume of leakage fluid was 23.2 mL, and all culture studies were negative. Clinical manifestations related to leakage of patients with ascites were mild compared to pericardial effusion or pleural effusion. There was no recurrence after removal of the central vein catheter. Conclusion: Central venous catheter leak should be suspected if sudden and/or marked change in the vital signs of neonates was identified after central venous catheterization. The multicenter study involving more patients will be necessary to identify risk factors for leakage.
#Central venous catheters #Infant #newborn #Pericardial effusion #Pleural effusion

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Rodrigues AF / 2006 / Management of end-stage central venous access in children referred for possible small bowel transplantation / J Pediatr Gastroenterol Nutr 42:427~433 google schola Azizkhan RG / 1992 / Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children / J Pediatr Surg 27:165~169 google schola Traen M / 2005 / Cardiac tamponade and pericardial effusion due to venous umbilical catheterization / Acta Paediatr 94:626~628 google schola Booth SA / 2001 / Central venous catheterization and fatal cardiac tamponade / Br J Anaesth 87:298~302 google schola Gravenstein N / 1991 / In vitro evaluation of relative perforating potential of central venous catheters: comparison of materials, selected models, number of lumens, and angles of incidence to simulated membrane / J Clin Monit 7:1~6 google schola

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