Umbilical Venous Catheterization in a Neonate Causing Pleural Effusion
Suresh Kotinatot1, Devendrasing Jadhav1, Ahmed Elajab1
1Department of Neonatology, Al Jalila Children's Specialty Hospital, Dubai, UAE.
Oman Medical Journal
|April 15, 2021
Summary
Neonatal pleural effusion is a rare complication of umbilical venous catheterization. Prompt intervention, including catheter removal and drainage, can resolve respiratory distress caused by total parenteral nutrition in the pleural space.
Area of Science:
- Neonatology
- Pediatric Surgery
- Critical Care Medicine
Background:
- Umbilical venous catheterization (UVC) is a common neonatal procedure.
- Complications, though rare, can be severe, necessitating prompt recognition and management.
- Pleural effusion is an exceptionally uncommon sequela of UVC.
Observation:
- A term newborn developed respiratory distress post-UVC insertion and initiation of total parenteral nutrition (TPN).
- Diagnostic imaging (X-ray and ultrasound) confirmed right-sided pleural effusion.
- Intercostal drainage was performed for therapeutic intervention.
Findings:
- Analysis of the aspirated pleural fluid revealed it to be TPN.
- The pleural effusion was directly attributed to the UVC and TPN administration.
- Resolution of the effusion occurred following UVC removal.
Implications:
- This case highlights the importance of considering pleural effusion in neonates with respiratory distress after UVC.
- Timely diagnosis and management, including UVC removal, are crucial for favorable outcomes.
- Awareness of this rare complication can guide clinical practice and prevent delayed treatment.
More Related Videos
08:58Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
Published on: October 31, 2025
169
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
7.0K
Related Concept Videos
01:26Endoscopic Studies II: Thoracocentesis
809
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
809
01:25Pleural Effusion I: Introduction
2.7K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
2.7K
01:14Fetal Circulation
1.9K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
1.9K
01:29Venous Thrombosis III: Interprofessional Care
94
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
94
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
428
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
428
01:22Aneurysm IV: Nursing Management
167
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
167