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Improvvisa insufficienza respiratoria da versamento pleurico in un neonato con catetere venoso centrale per via percutanea
Pleural effusion presenting with acute respiratory failure in a newborn with peripherally inserted central venous catheter
Emanuela Inserra, Simona Puzone, Chiara Delehaye, Elisabetta Caredda, Margherita Internicola, Umberto Pugliese, Ferdinando Spagnuolo, Mauro Carpentieri, Carlo Capristo, Paolo Montaldo
UOSD di Terapia Intensiva Neonatale, Università degli Studi della Campania “Luigi Vanvitelli”, Napoli
Febbraio 2021 | DOI: 10.53126/MEBXXIV047
Abstract
Peripherally Inserted Central Venous Catheter (PICC) insertion is a common procedure performed in most neonatal units. Even though this is a well-defined procedure for indications and risks, complications have been reported in literature.
The paper reports a case of pleural effusion in a preterm newborn (31 weeks of gestation) as complication after PICC placement. A 7-day-old female infant with total parenteral nutrition via a PICC had an acute clinical deterioration requiring intubation and mechanical ventilation. Lung ultrasound revealed right pleural effusion, which was later confirmed by chest radiography. The PICC was promptly removed and thoracentesis performed, with a quick improvement of the respiratory conditions of the newborn.
The paper reports a case of pleural effusion in a preterm newborn (31 weeks of gestation) as complication after PICC placement. A 7-day-old female infant with total parenteral nutrition via a PICC had an acute clinical deterioration requiring intubation and mechanical ventilation. Lung ultrasound revealed right pleural effusion, which was later confirmed by chest radiography. The PICC was promptly removed and thoracentesis performed, with a quick improvement of the respiratory conditions of the newborn.
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