A novel technique for difficult removal of a neonatal peripherally inserted central catheter (PICC).
Summary of "A novel technique for difficult removal of a neonatal peripherally inserted central catheter (PICC)."
Peripherally inserted central catheters have become commonplace in the neonatal intensive care unit for long-term hyperalimentation and medication administration. Removal of the catheter at the conclusion of therapy is routinely relatively easy. We describe a case of a retained catheter that was unresponsive to typical noninvasive interventions and was subsequently removed using a unique non-surgical approach.
Affiliation
Pediatrix Medical Group, St Mary's Medical Center Neonatal Intensive Care Unit, West Palm Beach, FL, USA.
Journal Details
This article was published in the following journal.
Name: Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Pages: 70-1
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22202954
- DOI: http://dx.doi.org/10.1038/jp.2011.57
Medical and Biotech [MESH] Definitions
Infusions, Intraosseous
The administration of medication or fluid through a needle directly into the bone marrow. The technique is especially useful in the management of pediatric emergencies when intravenous access to the systemic circulation is difficult.
Jaundice, Neonatal
Yellow discoloration of the SKIN; MUCOUS MEMBRANE; and SCLERA in the NEWBORN. It is a sign of NEONATAL HYPERBILIRUBINEMIA. Most cases are transient self-limiting (PHYSIOLOGICAL NEONATAL JAUNDICE) occurring in the first week of life, but some can be a sign of pathological disorders, particularly LIVER DISEASES.
Biopsy, Needle
Removal and examination of tissue obtained through a transdermal needle inserted into the specific region, organ, or tissue being analyzed.
Hyperbilirubinemia, Neonatal
Accumulation of BILIRUBIN, a breakdown product of HEME PROTEINS, in the BLOOD during the first weeks of life. This may lead to NEONATAL JAUNDICE. The excess bilirubin may exist in the unconjugated (indirect) or the conjugated (direct) form. The condition may be self-limiting (PHYSIOLOGICAL NEONATAL JAUNDICE) or pathological with toxic levels of bilirubin.
Bronchomalacia
A congenital or acquired condition of underdeveloped or degeneration of CARTILAGE in the BRONCHI. This results in a floppy bronchial wall making patency difficult to maintain. It is characterized by wheezing and difficult breathing.
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