Major thrombotic complications with lower limb PICCs in surgical neonates

Journal of Pediatric Surgery
Phyllis KisaSonia A Butterworth

Abstract

PICC lines are now used routinely to provide central access for neonatal intensive care unit (NICU) patients. Neonates are known to be at risk for venous thromboembolism (VTE) related to central catheters. No literature exists about VTE PICC-related morbidity in the NICU abdominal surgery subgroup. With REB approval, a retrospective review of a NICU database of PICC insertions performed at a tertiary children's hospital was conducted (January 2010-June 2013). Information about PICCs and complications was recorded. For patients with a major thrombotic complication, charts were reviewed. A major thrombotic complication was defined as a thrombosis which required medical and/or surgical intervention. 692 PICCs were inserted (485 in the upper extremity, 142 in the lower extremity, and 65 in the scalp). Seventy-four patients had significant intraabdominal pathology, and 5 had a major thrombotic complication. All patients with a major thrombotic complication had a lower extremity PICC which was at or below L1 (L1-S1) running parenteral nutrition. In the current study, only neonates with abdominal pathology and a lower extremity insertion site suffered major thrombotic complications from PICC lines. Given all patients' PICC tips were b...Continue Reading

References

Jun 1, 1990·Journal of Pediatric Surgery·J P Roberts, I J Gollow
Sep 1, 1986·Journal of Pediatric Surgery·E R GrisoniA F Connors
Sep 1, 1994·Journal of Pediatric Surgery·K G PippusE P Rees
Jan 1, 1996·JPEN. Journal of Parenteral and Enteral Nutrition·P J KearnsJ H Wehner
Nov 5, 2005·Thrombosis and Haemostasis·Christoph MaleUNKNOWN PROTEKT Study Group
Aug 3, 2011·Seminars in Fetal & Neonatal Medicine·Shoshana Revel-Vilk, Zivanit Ergaz
Feb 4, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·B IsemannH Akinbi
Jul 4, 2012·The Journal of Clinical Investigation·Nigel Mackman
Sep 8, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·A JainP Shah
Mar 5, 2013·American Journal of Perinatology·Ingrid Anne Mandy SchierzGiovanni Corsello
Jan 31, 2014·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Christina K ParkUNKNOWN Thrombosis and Hemostasis in Newborns (THiN) Group
Jul 2, 2014·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Rhonda E Maneval, Bonnie J Clemence
Dec 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Pol Maria Rommens

❮ Previous
Next ❯

Citations

Jan 9, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Gillian C PetRyan M McAdams
Aug 26, 2019·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Hongxiu ChenXiuying Hu

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

Journal of Perinatology : Official Journal of the California Perinatal Association
K ColacchioM J Bizzarro
Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Bob L LoboRonald I Shorr
© 2021 Meta ULC. All rights reserved