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[Percutaneously implanted silastic catheters in the neonate].

O Luz, H Frisch

    Padiatrie Und Padologie
    |January 1, 1985
    PubMed
    Summary

    Percutaneous insertion of Silastic central venous catheters in infants requiring total parenteral nutrition proved safe and effective. This method avoided complications like infection and obstruction, supporting its use in neonatal care.

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    Area of Science:

    • Neonatal Medicine
    • Pediatric Surgery
    • Vascular Access

    Context:

    • Infants requiring total parenteral nutrition (TPN) often need central venous access.
    • Central venous catheters (CVCs) are essential for TPN delivery but carry risks.
    • Percutaneous insertion via the basilic vein is a potential CVC placement technique.

    Purpose:

    • To evaluate the safety and efficacy of percutaneous Silastic central venous catheter insertion via the basilic vein in infants.
    • To assess complication rates including infection, thrombophlebitis, and caval obstruction.

    Summary:

    • Twenty-three Silastic CVCs were placed in 21 infants (weight 1770g, age 1.6 days, gestational age 32 weeks) requiring TPN.
    • Catheters were inserted percutaneously via the basilic vein and remained in place for 3-37 days (451 patient days total).
    • No instances of infection, thrombophlebitis, or caval obstruction were observed.

    Impact:

    • Demonstrates the safety and feasibility of percutaneous basilic vein catheterization for TPN in neonates.
    • Suggests this technique is a viable alternative for establishing central venous access in this population.
    • Provides evidence supporting the use of Silastic catheters for short-to-medium term TPN in infants.

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