지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 60 - 65 (6page)
이용수
초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
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
Azizkhan RG / 1992 / Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children / J Pediatr Surg 27:165~169
Traen M / 2005 / Cardiac tamponade and pericardial effusion due to venous umbilical catheterization / Acta Paediatr 94:626~628
Booth SA / 2001 / Central venous catheterization and fatal cardiac tamponade / Br J Anaesth 87:298~302
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
Azizkhan RG / 1992 / Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children / J Pediatr Surg 27:165~169
Traen M / 2005 / Cardiac tamponade and pericardial effusion due to venous umbilical catheterization / Acta Paediatr 94:626~628
Booth SA / 2001 / Central venous catheterization and fatal cardiac tamponade / Br J Anaesth 87:298~302
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
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