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Hemidiaphragmatic paralysis related to extravasation of parenteral solution in very low birthweight neonates

Central venous catheter (CVC) placement is common in the care of very low birthweight (VLBW) preterm neonates. Although it is generally considered to be safe, CVC placement is associated with complications, including extravasation that may lead to significant morbidity and mortality. We report the c...

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Detalles Bibliográficos
Autores principales: Huang, Hai-Bo, Zhang, Qian-Shen, Tingay, David G, Cheung, Po-Yin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8162068/
https://www.ncbi.nlm.nih.gov/pubmed/34045205
http://dx.doi.org/10.1136/bcr-2021-242390
Descripción
Sumario:Central venous catheter (CVC) placement is common in the care of very low birthweight (VLBW) preterm neonates. Although it is generally considered to be safe, CVC placement is associated with complications, including extravasation that may lead to significant morbidity and mortality. We report the clinical course of an extremely preterm neonate born at 27 weeks gestation, and another 5 VLBW preterm neonates reported in the literature with hemidiaphragmatic paralysis related to extravasation of parenteral solution from CVC placement. In VLBW preterm neonates, spontaneous recovery of diaphragmatic paralysis related to extravasation of parenteral solution is possible.