PMID: 6403737Jan 1, 1983Paper

Percutaneous and surgical placement of fine silicone elastomer central catheters in high-risk newborns

JPEN. Journal of Parenteral and Enteral Nutrition
M P ShermanB W Goetzman

Abstract

Percutaneous insertion of fine silicone elastomer catheters (0.6 millimeters outside diameter) have been used for central parenteral nutrition of very low birth weight and other high risk infants. Because peripheral venous access can be limited in the newborn, we report the previously undescribed surgical cannulation of the superficial arm veins with this catheter, and compare our experience with this technique and the percutaneous method in neonates. A central catheter position was attained in 88% of surgical (38 of 43) and 74% of percutaneous (17 of 23) cannulations. The two groups did not differ in birth weight or gestational age. The mean duration of catheterization was similar in the two groups (combined means = 21.8 +/- 2.3 days SEM). There was no difference in weight gain (combined means = 16.9 +/- 1.0 grams SEM per day) or head growth (combined means = 1.1 +/- 0.1 millimeters per day) between the groups and these rates approximated known fetal growth rates for our mean gestational age. Disseminated candidiasis, in a 770-gram infant with thymic hypoplasia, caused the only systemic infection and death among our 49 patients. The most commonly encountered problem was catheter occlusion secondary to a blood clot at the tip o...Continue Reading

References

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Sep 1, 1979·JPEN. Journal of Parenteral and Enteral Nutrition·T P Riordan
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Citations

Aug 1, 1993·Acta Paediatrica Japonica; Overseas Edition·T MorimotoK Nishimura
Jun 1, 1995·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·M K Chathas, J B Paton
Sep 1, 1987·Journal of Pediatric Surgery·B W WarnerM J Ghory
Apr 16, 2002·Neonatal Network : NN·C Trotter, B E Carey
Apr 1, 1986·Journal of Pediatric Surgery·R J ShulmanD Roney
May 1, 1990·JPEN. Journal of Parenteral and Enteral Nutrition·K T NakamuraA Erenberg
Jul 19, 2018·Revista do Colégio Brasileiro de Cirurgiões·Livia Lopes BarreirosRossano Kepler Alvim Fiorelli
Jan 1, 1994·The British Journal of Surgery·S R KohlhardtC R Wright
Jul 29, 2003·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Janet Pettit
Jul 29, 2003·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Janet Pettit
Apr 16, 2002·Neonatal Network : NN·S Salmons

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