Pub Date : 2019-11-13DOI: 10.24966/ncp-878x/100035
K. Pajer
{"title":"Different Birth Size Measures are Not Equivalent in Predicting Health Outcomes in Young Women","authors":"K. Pajer","doi":"10.24966/ncp-878x/100035","DOIUrl":"https://doi.org/10.24966/ncp-878x/100035","url":null,"abstract":"","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89348579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-13DOI: 10.24966/ncp-878x/100034
K. D. Graaff-Korf
{"title":"Long-Term Auditory Follow-Up of Preterm Infants after Neonatal Hearing Screening","authors":"K. D. Graaff-Korf","doi":"10.24966/ncp-878x/100034","DOIUrl":"https://doi.org/10.24966/ncp-878x/100034","url":null,"abstract":"","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"320 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77458797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-13DOI: 10.24966/ncp-878x/100036
Lea H Mallett
{"title":"Examining the Association of Preeclampsia with Neonatal Neurodevelopmental Delay","authors":"Lea H Mallett","doi":"10.24966/ncp-878x/100036","DOIUrl":"https://doi.org/10.24966/ncp-878x/100036","url":null,"abstract":"","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89836786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-06DOI: 10.24966/ncp-878x/100030
M. Vințan
Background and goals Neonatal hypoxic-ischemic injury defined as: “Asphyxia of the umbilical blood supply to the human fetus occurring at 36 gestational weeks or later”, represents still a stable cause of mortality and disability despite the progress in assisted respiratory and intensive care technology. It is thought to be the major cause for developing of Cerebral Palsy (CP). We performed an observational study that included children with cerebral palsy, in order to asses the relation of intrapartum asphyxia and CP. Methods Our group included children with diagnosis of CP, age under 5 years with same characteristics regardind sex, families social and educational level. There were excluded children with malformations, braintumors, neurometabolic and neurodegenerative disorders. We evaluated the relation between the presence of intrapartum asphyxia and type of CP, type of neurological involvement: Spastic, extrapiramidal or mixt and the relation with CP comorbidities as motor and mental retardation and epilepsy. Results We evaluated 110 children with CP 63 females (57 %) and 47 males (43 %); 43 of them (39 %) presented documented intrapartum asphyxia. The type of CP was dominating spastic type (79 %), associated with motor retardation in 102 (92 %), cognitive disability in 81 (73,63 %) and epilepsy in 53 of them (48 %). We found possible relationship for developing distonic and mixt type of neurological involvement, no relation regarding the type of CP tetraparesis, diparesis or hemiparesis. In our group, no relationship was found regarding motor and mental retardation and history of intrapartum asphyxia, instead there was a correlation with epilepsy in this group of children. Conclusion CP is a multifactorial disorder. Intrapartum asphyxia could be a factor that determines the type of CP and associated disabilities, but it is not specific. Probably studies on larger groups could better clarify the relation between CP and intrapartum asphyxia.
{"title":"Intrapartum Asphyxia in Relation with the Risk for Developing of Cerebral Palsy","authors":"M. Vințan","doi":"10.24966/ncp-878x/100030","DOIUrl":"https://doi.org/10.24966/ncp-878x/100030","url":null,"abstract":"Background and goals Neonatal hypoxic-ischemic injury defined as: “Asphyxia of the umbilical blood supply to the human fetus occurring at 36 gestational weeks or later”, represents still a stable cause of mortality and disability despite the progress in assisted respiratory and intensive care technology. It is thought to be the major cause for developing of Cerebral Palsy (CP). We performed an observational study that included children with cerebral palsy, in order to asses the relation of intrapartum asphyxia and CP. Methods Our group included children with diagnosis of CP, age under 5 years with same characteristics regardind sex, families social and educational level. There were excluded children with malformations, braintumors, neurometabolic and neurodegenerative disorders. We evaluated the relation between the presence of intrapartum asphyxia and type of CP, type of neurological involvement: Spastic, extrapiramidal or mixt and the relation with CP comorbidities as motor and mental retardation and epilepsy. Results We evaluated 110 children with CP 63 females (57 %) and 47 males (43 %); 43 of them (39 %) presented documented intrapartum asphyxia. The type of CP was dominating spastic type (79 %), associated with motor retardation in 102 (92 %), cognitive disability in 81 (73,63 %) and epilepsy in 53 of them (48 %). We found possible relationship for developing distonic and mixt type of neurological involvement, no relation regarding the type of CP tetraparesis, diparesis or hemiparesis. In our group, no relationship was found regarding motor and mental retardation and history of intrapartum asphyxia, instead there was a correlation with epilepsy in this group of children. Conclusion CP is a multifactorial disorder. Intrapartum asphyxia could be a factor that determines the type of CP and associated disabilities, but it is not specific. Probably studies on larger groups could better clarify the relation between CP and intrapartum asphyxia.","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85326357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-06DOI: 10.24966/ncp-878x/100029
L. Saha
per day have been reported as safe in a prospective study [7], but several retrospective studies have suggested that advancing feedings rapidly is associated with an increased risk for NEC [9,10]. In 1 of these studies, feeding increments were as high as 40 to 50mL/kg per day [9]. Conversely, a relatively more rapid advancement of enteral feedings in preterm infants may improve their growth and nutritional status, decrease the need for and hazards of intravenous infusion solutions, and potential ly shorten the length of hospitalization. Rayyis et al. [8], reported no difference in the incidence of feeding intolerance or NEC in infants who received 35 mL versus 15 mL feeding advancements. We exam ined whether infants who were fed initially and advanced at 30 mL/ kg per day take fewer days to get to full feedings than those who were fed initially and advanced at 20 mL/kg per day, without increases in their incidence of feeding complications and NEC. Also, we studied whether infants who were fed the higher volume regain birth weight earlier, have fewer days of intravenous fluids, and have a shorter hos pital stay than those who were advanced at the slower rate. Abstract Background Enteral feeding routines are not well defined in preterm neonates. Controversy exists regarding when feedings should be started, whether minimal enteral feedings should be used routinely in small preterm infants and how fast to advance enteral feedings. Objective To evaluate the effect of slow vs rapid rates of advancement of enteral feeding volumes on the clinical outcomes in preterm babies less than 34 weeks. A randomized, controlled, single-center trial was conducted in a Neonatal Unit of Dhaka Shishu (Children) Hospital. Infants between 1200 gm and < 2500 gm at birth, gestational age < 34 weeks, and weight appropriate for gestational age were allocated randomly to feedings of expressed human milk and advanced at either 30 mL/ kg per day or 20 mL/kg per day. Infant’s remained in the study until discharge. A total of 300 infants were enrolled, 150 infants in the rapid group and 150 in the slow group. Enteral feeding advancements were well tolerated by the intervention group of stable preterm neonates like that of control group both in birth weight <1500 gm and in birth weight (1500 gm - < 2500 gm) study populations (67.27 % vs. 68.42 % and 68.42 % vs. 64.28 %, p value > 0.05). Infants in the intervention group achieved full volume feedings sooner (9.33 days vs. 14.66 days) and (9.12 days vs. 15.5 days), p value < 0.05. Eighteen infants in the intervention group and fifteen in control group were died due to sepsis which was statistically not significant. There was no incidence of NEC in birth weight (1500 gm - < 2500 gm) study populations in both groups. No statistical differences in the proportion of infants with feed interruption or feed intolerance. Rapid enteral feeding advancements in preterm babies < 34 weeks reduce the time to reach full enteral feeding and the use of
{"title":"Slow versus Rapid Advancement of Enteral Feeding in Preterm Infants Less than 34 Weeks: A Randomized Controlled Trial","authors":"L. Saha","doi":"10.24966/ncp-878x/100029","DOIUrl":"https://doi.org/10.24966/ncp-878x/100029","url":null,"abstract":"per day have been reported as safe in a prospective study [7], but several retrospective studies have suggested that advancing feedings rapidly is associated with an increased risk for NEC [9,10]. In 1 of these studies, feeding increments were as high as 40 to 50mL/kg per day [9]. Conversely, a relatively more rapid advancement of enteral feedings in preterm infants may improve their growth and nutritional status, decrease the need for and hazards of intravenous infusion solutions, and potential ly shorten the length of hospitalization. Rayyis et al. [8], reported no difference in the incidence of feeding intolerance or NEC in infants who received 35 mL versus 15 mL feeding advancements. We exam ined whether infants who were fed initially and advanced at 30 mL/ kg per day take fewer days to get to full feedings than those who were fed initially and advanced at 20 mL/kg per day, without increases in their incidence of feeding complications and NEC. Also, we studied whether infants who were fed the higher volume regain birth weight earlier, have fewer days of intravenous fluids, and have a shorter hos pital stay than those who were advanced at the slower rate. Abstract Background Enteral feeding routines are not well defined in preterm neonates. Controversy exists regarding when feedings should be started, whether minimal enteral feedings should be used routinely in small preterm infants and how fast to advance enteral feedings. Objective To evaluate the effect of slow vs rapid rates of advancement of enteral feeding volumes on the clinical outcomes in preterm babies less than 34 weeks. A randomized, controlled, single-center trial was conducted in a Neonatal Unit of Dhaka Shishu (Children) Hospital. Infants between 1200 gm and < 2500 gm at birth, gestational age < 34 weeks, and weight appropriate for gestational age were allocated randomly to feedings of expressed human milk and advanced at either 30 mL/ kg per day or 20 mL/kg per day. Infant’s remained in the study until discharge. A total of 300 infants were enrolled, 150 infants in the rapid group and 150 in the slow group. Enteral feeding advancements were well tolerated by the intervention group of stable preterm neonates like that of control group both in birth weight <1500 gm and in birth weight (1500 gm - < 2500 gm) study populations (67.27 % vs. 68.42 % and 68.42 % vs. 64.28 %, p value > 0.05). Infants in the intervention group achieved full volume feedings sooner (9.33 days vs. 14.66 days) and (9.12 days vs. 15.5 days), p value < 0.05. Eighteen infants in the intervention group and fifteen in control group were died due to sepsis which was statistically not significant. There was no incidence of NEC in birth weight (1500 gm - < 2500 gm) study populations in both groups. No statistical differences in the proportion of infants with feed interruption or feed intolerance. Rapid enteral feeding advancements in preterm babies < 34 weeks reduce the time to reach full enteral feeding and the use of","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88566233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-06DOI: 10.24966/ncp-878x/100028
Shahria Hafiz
Background About 40 million children under the age of 18 years are estimated to suffer from abuse and neglect around the world. Child abuse in developing countries, including South Asia, is yet to be recognized as a major social and public health problem with an enormous burden on the economy and society. The present study conducted to find out the level of knowledge and perception of child abuse among the adolescent girls in some selected high schools in Dhaka city. Method This cross sectional descriptive study was conducted among 149 adolescent girl students of class VIII, IX and X of three purposively selected high schools in Dhaka city namely Kakoli High School, Rayer Bazar High School, and YWCA Higher Secondary Girls’ School. Results Mean±SD of age of the respondents was 14.23±0.90 years with a range of 13 to 16 years. Majority of them (61.7%) were in the age group of 13-14 years. When the respondents were asked from where they got information about child abuse, majority (123), 82% stated that they heard from TV, other common sources were news paper 65 (43%) and parents 36 (24%). In the present study out of 149 respondents said that physical abuse (66.4%) is more prevalent in our country than mental (55.7%) and sexual (29.5%) abuse. In the present study the respondents thought that child was abused by nearest relative, by servant, by teacher, by father, by mother, by brother and sister and by others 47.1%, 27.2%, 20.6%, 18.6%, 17.9%, 9.3% and 24.8% respectively. In the present study opinion of the respondents were sought as to how to prevent child abuse, increase peoples’ awareness, enforcement of law, and increase general level of education of the people and parents awareness about child mentality were the prominent opinions. The responses were scored and graded. Mean±SD of scores of knowledge was 11.7±2.5 with a range of 5-17. Only about 13% had high score while 30% scored poor. Mean±SD of scores of perception was 27.9±4.4 with a range of 14-35. Perception score of ‘poor’ grade was observed in 22% respondents and that of ‘good’ grade in 32% respondents. Relationship between knowledge score and perception score was examined by correlation analysis and a weak positive correlation was observed with correlation coefficient, r=0.186 (p=0.023). The mean±SD of scores of perception among Kakoli High School was 28.78±3.65, among the respondent among Rayer Bazar School was 26.93±5.056) and among the respondents of YWCA was 28.81±2.6. The mean±SD of score of knowledge among Kakoli School was 11.93±2.4, among the respondents of in Rayar Bazar School 11.01±2.34 and among the respondents of YWCA School was 13.52±2.01. From this study it was revealed that the knowledge and perception about child abuse is considerably significant. But in reality to counter the child abuse is not much practiced in our society. Therefore, the importance of child abuse should be focused and generalized with high priority.
{"title":"Knowledge and Perception of Child Abuse among the Adolescent Girls in Some Selected Schools in Dhaka City","authors":"Shahria Hafiz","doi":"10.24966/ncp-878x/100028","DOIUrl":"https://doi.org/10.24966/ncp-878x/100028","url":null,"abstract":"Background About 40 million children under the age of 18 years are estimated to suffer from abuse and neglect around the world. Child abuse in developing countries, including South Asia, is yet to be recognized as a major social and public health problem with an enormous burden on the economy and society. The present study conducted to find out the level of knowledge and perception of child abuse among the adolescent girls in some selected high schools in Dhaka city. Method This cross sectional descriptive study was conducted among 149 adolescent girl students of class VIII, IX and X of three purposively selected high schools in Dhaka city namely Kakoli High School, Rayer Bazar High School, and YWCA Higher Secondary Girls’ School. Results Mean±SD of age of the respondents was 14.23±0.90 years with a range of 13 to 16 years. Majority of them (61.7%) were in the age group of 13-14 years. When the respondents were asked from where they got information about child abuse, majority (123), 82% stated that they heard from TV, other common sources were news paper 65 (43%) and parents 36 (24%). In the present study out of 149 respondents said that physical abuse (66.4%) is more prevalent in our country than mental (55.7%) and sexual (29.5%) abuse. In the present study the respondents thought that child was abused by nearest relative, by servant, by teacher, by father, by mother, by brother and sister and by others 47.1%, 27.2%, 20.6%, 18.6%, 17.9%, 9.3% and 24.8% respectively. In the present study opinion of the respondents were sought as to how to prevent child abuse, increase peoples’ awareness, enforcement of law, and increase general level of education of the people and parents awareness about child mentality were the prominent opinions. The responses were scored and graded. Mean±SD of scores of knowledge was 11.7±2.5 with a range of 5-17. Only about 13% had high score while 30% scored poor. Mean±SD of scores of perception was 27.9±4.4 with a range of 14-35. Perception score of ‘poor’ grade was observed in 22% respondents and that of ‘good’ grade in 32% respondents. Relationship between knowledge score and perception score was examined by correlation analysis and a weak positive correlation was observed with correlation coefficient, r=0.186 (p=0.023). The mean±SD of scores of perception among Kakoli High School was 28.78±3.65, among the respondent among Rayer Bazar School was 26.93±5.056) and among the respondents of YWCA was 28.81±2.6. The mean±SD of score of knowledge among Kakoli School was 11.93±2.4, among the respondents of in Rayar Bazar School 11.01±2.34 and among the respondents of YWCA School was 13.52±2.01. From this study it was revealed that the knowledge and perception about child abuse is considerably significant. But in reality to counter the child abuse is not much practiced in our society. Therefore, the importance of child abuse should be focused and generalized with high priority.","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73476701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-06DOI: 10.24966/ncp-878x/100027
C. Cardoso
{"title":"A Rare Event at Birth: A Case Report of Multiple Cranial Nerve Palsy","authors":"C. Cardoso","doi":"10.24966/ncp-878x/100027","DOIUrl":"https://doi.org/10.24966/ncp-878x/100027","url":null,"abstract":"","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86446706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-06DOI: 10.24966/ncp-878x/100031
B. Gupta
Septicemia in neonates refers to generalized bacterial infection documented by positive blood culture in the first four weeks of life and is one of the four leading causes of neonate’s mortality. To study and identify the bacterial etiologic agents responsible for neonatal sepsis and to determine the susceptibility pattern of isolates in a tertiary care hospital in Universal College of Medical Sciences and Teaching Hospital (UCMS-TH). The pathogens most often implicated in neonatal sepsis in developing countries differ from those seen in developed countries. clinically suspected cases of neonatal sepsis admitted to Neo- natal Intensive Care Unit (NICU) from Jan 2019 - April 2019 included in the study. The data were analyzed statistically. Two hun-dred ninety six blood samples were collected and processed from patients in accordance with international or less than 5000/cumm, platelets count less than 150000/cumm, band neutrophil ratio more than 0.2, absolute neutrophil count, C-reactive protein positive (more than 1 mg/dl), micro ESR > 15 mm/hr, blood cultures and sensitivity by standard methods.
{"title":"Bacteriological Profile of Neonates Admitted with Suspected Sepsis in NICU of Tertiary Care Hospital of Western Nepal","authors":"B. Gupta","doi":"10.24966/ncp-878x/100031","DOIUrl":"https://doi.org/10.24966/ncp-878x/100031","url":null,"abstract":"Septicemia in neonates refers to generalized bacterial infection documented by positive blood culture in the first four weeks of life and is one of the four leading causes of neonate’s mortality. To study and identify the bacterial etiologic agents responsible for neonatal sepsis and to determine the susceptibility pattern of isolates in a tertiary care hospital in Universal College of Medical Sciences and Teaching Hospital (UCMS-TH). The pathogens most often implicated in neonatal sepsis in developing countries differ from those seen in developed countries. clinically suspected cases of neonatal sepsis admitted to Neo- natal Intensive Care Unit (NICU) from Jan 2019 - April 2019 included in the study. The data were analyzed statistically. Two hun-dred ninety six blood samples were collected and processed from patients in accordance with international or less than 5000/cumm, platelets count less than 150000/cumm, band neutrophil ratio more than 0.2, absolute neutrophil count, C-reactive protein positive (more than 1 mg/dl), micro ESR > 15 mm/hr, blood cultures and sensitivity by standard methods.","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89569607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-06DOI: 10.24966/ncp-878x/100032
J. Tung
Management of infants with type 1 diabetes is challenging to both the families and the medical team. In general, they have unpre- dictable oral intake and activity level, limited ability to express their needs, and low insulin requirement demanding more precise adjust- ment. We report a breast-feeding infant with multiple food allergies and type 1 diabetes managed smoothly with insulin pump and continuous glucose monitoring system.
{"title":"The Successful Management of a Breast-Feeding Type 1 Diabetic Infant","authors":"J. Tung","doi":"10.24966/ncp-878x/100032","DOIUrl":"https://doi.org/10.24966/ncp-878x/100032","url":null,"abstract":"Management of infants with type 1 diabetes is challenging to both the families and the medical team. In general, they have unpre- dictable oral intake and activity level, limited ability to express their needs, and low insulin requirement demanding more precise adjust- ment. We report a breast-feeding infant with multiple food allergies and type 1 diabetes managed smoothly with insulin pump and continuous glucose monitoring system.","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91157649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-20DOI: 10.24966/NCP-878X/100026
Sara M Rocha
Umbilical Venous Catheterization (UVC) is a common practice in neonatal units, though not without risks. Complications may occur in over 20% of patients; however pleural effusion is extremely rare. We report a case of an extreme preterm male neonate weighing 810 g, who developed pleural effusion due to malpositioned UVC. Pleural fluid was biochemically similar to parenteral nutrition solution. This alongside with the absence of recurrence of pleural effusion after UVC removal, support the causality between the UVC and pleural effusion. This case emphasizes the need to confirm the correct positioning of UVC. When in doubtful position, it should be withdrawn as early as possible, ensuring an alternative central access. If the clinical situation does not allow it, it is important to consider the osmolarity of the perfused solution, due to the risk of endothelial damage.
{"title":"Pleural Effusion as a Complication of Umbilical Venous Catheter","authors":"Sara M Rocha","doi":"10.24966/NCP-878X/100026","DOIUrl":"https://doi.org/10.24966/NCP-878X/100026","url":null,"abstract":"Umbilical Venous Catheterization (UVC) is a common practice in neonatal units, though not without risks. Complications may occur in over 20% of patients; however pleural effusion is extremely rare. We report a case of an extreme preterm male neonate weighing 810 g, who developed pleural effusion due to malpositioned UVC. Pleural fluid was biochemically similar to parenteral nutrition solution. This alongside with the absence of recurrence of pleural effusion after UVC removal, support the causality between the UVC and pleural effusion. This case emphasizes the need to confirm the correct positioning of UVC. When in doubtful position, it should be withdrawn as early as possible, ensuring an alternative central access. If the clinical situation does not allow it, it is important to consider the osmolarity of the perfused solution, due to the risk of endothelial damage.","PeriodicalId":93307,"journal":{"name":"Journal of clinical pediatrics and neonatology","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86047227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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