Complications From Intravascular Catheters Primum Non Nocere FREE

BEVERLY C. MORGAN, MD

Am J Dis Child. 1984;138(5):425-426. doi:10.1001/archpedi.1984.02140430003001.

Text Size: A A A

Published online

Article

References

Comments

ABSTRACT

ABSTRACT | REFERENCES

Rapid technological advances have made possible interventions that have significantly improved the survival of sick infants and children. Notable among these is the use of intravascular catheters in the treatment of critically ill pediatric patients, particularly premature infants and other high-risk neonates. These advances have led to improved survival; unfortunately, they have been associated with multiple complications that result in morbidity and mortality. The increasing list of complications is extended by Daniels et al¹ in this issue of the AJDC in a report on paroxysmal supraventricular tachycardia, resulting from right atrial positioning of a central venous catheter in a neonate.

The complications of arterial and venous catheters fall into several causal categories: perforation, sepsis, vessel scarring, improper placement, thrombotic and embolic events, and other causes. The relative risks of arterial v venous placement and the preferable position of the tip of umbilical arterial catheters will not be discussed beyond

REFERENCES

ABSTRACT | REFERENCES

Daniels SR, Hannon DW, Meyer RA, et al: Paroxysmal supraventricular tachycardia: A complication of jugular central venous catheters in neonates . AJDC 1984;;138:474-475.

Miller D, Kirkpatrick BV, Kodroff M, et al: Pelvic exsanguination following umbilical artery catheterization in neonates . J Pediatr Surg 1979;; 14:264-269.

Fischer GW, Scherz RG: Neck vein catheters and pericardial tamponade . Pediatrics 1973;; 52:868-871.

Symchych PS, Krauss AN, Winchester P: Endocarditis following intracardiac placement of umbilical venous catheters in neonates . J Pediatr 1977;;90:287-289.

Kristt DA, Rosenberg KA, Engel BT: Effect of prolonged intra-arterial catheterization on arterial wall . Johns Hopkins Med J 1974;;135:1-8.

Koletsky S, Snajdar RM: Atherosclerosis following balloon catheter injury to the carotid artery and the aorta of hypertensive rats with normolipidemia or hyperlipidemia . Am J Pathol 1981;;103:105-115.

Nagel JW, Sims JS, Aplin CE, et al: Refractory hypoglycemia associated with a malpositioned umbilical artery catheter . Pediatrics 1979;; 64:315-317.

Plumer LB, Kapian GW, Mendoza SA, et al: Hypertension in infants: A complication of umbilical arterial catheterization . J Pediatr 1976;;89: 802-805.

Aziz EM, Robertson AF: Paraplegia: A complication of umbilical artery catheterization . J Pediatr 1973;;82:1051-1052.

Tooley WJ, Myerberg DZ: Should we put catheters in the umbilical artery? Pediatrics 1978;;62:853-854.

Hecker JF: Thrombogenicity of tips of umbilical catheters . Pediatrics 1981;;67:467-471.

Moore TD (ed): Iatrogenic Problems in Neonatal Care: 69th Ross Conference on Pediatric Research . Columbus, Ohio, Ross Laboratories, 1976;, pp 28-32.

Hillman LS, Goodwin SL, Sherman WR: Identification and measurement of plasticizer in neonatal tissues after umbilical catheters and blood products . N Engl J Med 1975;;292:381-386.

Sahn DH, Vaucher YE: Electrical current leakage transmitted to an infant via an IV controller: An unusual ECG artifact . J Pediatr 1976;; 89:301-302.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal