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Published on: December 23, 2014
Unilateral pleural effusion complicating central venous catheterisation
P Madhavi1, R Jameson, M J Robinson
1Hope Hospital, Salford M6 8HD, UK.
Summary
A migrated central venous catheter caused unilateral hydrothorax and respiratory distress in two preterm infants. Prompt diagnosis and treatment are crucial for survival in this previously unreported neonatal complication.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Cardiovascular Medicine
Background:
- Central venous catheters are vital for neonatal intensive care, particularly for intravenous alimentation.
- Catheter migration is a known risk, but specific complications can remain undocumented.
Observation:
- Two preterm infants developed acute respiratory distress.
- Imaging revealed unilateral hydrothorax, a collection of fluid in the chest cavity.
Findings:
- The hydrothorax was directly linked to the migration of a central venous catheter.
- The catheter had inadvertently entered the pulmonary vasculature, a rare event.
Implications:
- This case highlights a previously unreported complication of central venous catheters in neonates.
- Early detection and swift intervention are critical for managing this life-threatening condition.
- Enhanced vigilance and imaging protocols may be needed for neonatal central venous catheter placement.
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