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A Rare Complication of Central Venous Catheter Extravasation in a Preterm Neonate: Hemidiaphragmatic Paralysis

Hobson, C. ; Dubillot, D. ; Lardy, H. ; Sirinelli, D. ; Saliba, E. ; Lopez, E.

American journal of perinatology reports, 2017-04, Vol.7 (2), p.e65-e67 [Periódico revisado por pares]

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Título:
A Rare Complication of Central Venous Catheter Extravasation in a Preterm Neonate: Hemidiaphragmatic Paralysis
Autor: Hobson, C. ; Dubillot, D. ; Lardy, H. ; Sirinelli, D. ; Saliba, E. ; Lopez, E.
Assuntos: Case Report ; central venous catheter ; diaphragmatic paralysis ; diaphragmatic plication ; neonate
É parte de: American journal of perinatology reports, 2017-04, Vol.7 (2), p.e65-e67
Descrição: Abstract We report a case of a preterm neonate born at 26 weeks' of gestation diagnosed with unilateral diaphragmatic paralysis. This paralysis was a consequence of a phrenic nerve injury due to extravasation of hyperosmolar parenteral nutrition fluid in the upper thorax. Chest X-rays and ultrasonography confirmed the diagnosis. The neonate was treated with prolonged respiratory support and did not require surgical treatment. This report describes a case of hemidiaphragmatic paralysis as a complication of central venous catheter insertion. In neonates, spontaneous recovery of diaphragmatic paralysis is possible. This study concludes that recovery of extravasation injury-induced phrenic nerve palsy in the context of conservative management is possible.
Editor: 333 Seventh Avenue, New York, NY 10001, USA: Thieme Medical Publishers
Idioma: Inglês

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