Abstract
Complications of conventional surgically-placed central hyperalimentation catheters include caval obstruction, intracardiac thrombi and bacterial sepsis. In addition, patients require general anesthesia. We therefore have instituted in-nursery percutaneous placement of .025” o.d. Silastic catheters with the proximal tip situated within the right atrium. Ten PCSC have been placed in 8 infants weighing 880-3750 grams. Insertion sites were: right cephalic vein (3), left cephalic vein (1), right ext jugular vein (4), left ext jugular vein (2). PCSC remained in place 7-38 days. The only complication was accidental catheter dislodgement, which occurred in 3 instances (12, 16 and 20 days post-insertion). No other complications were encountered. Total cost to the patient was $268.35, compared with $791.40 for a surgically-placed central hyperalimentation line. Therefore, PCSC is an alternative to the larger bore, surgically-placed catheters, and can be inserted in the nursery without anesthesia in a small infant.
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Dolcourt, J., Bose, C. & Glasgow, L. 541 PERCUTANEOUSLY-PLACED CENTRAL SILASTIC CATHETERS (PCSC) IN NEONATES. Pediatr Res 15 (Suppl 4), 530 (1981). https://doi.org/10.1203/00006450-198104001-00555
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DOI: https://doi.org/10.1203/00006450-198104001-00555
