Key result
Intraperitoneal umbilical venous catheter extravasation in premature neonates presents with widely varying clinical and biochemical signs.
Why the study?
Suboptimal positioning of umbilical venous catheters can lead to serious extravasation complications that are difficult to identify and often confused with catheter-related infection or necrotising enterocolitis.
Case Report (n=3)
Umbilical venous catheter extravasation in premature neonates can present with a wide range of clinical signs, from subtle biochemical changes to rapid deterioration, and may be confused with infection or necrotizing enterocolitis.
Clinicians should consider extravasation in neonates with unexplained signs; Level 5 data leave open prospective detection studies.
Umbilical venous catheter insertion is a common procedure in the neonatal units performed for rapid vascular access. Though relatively safe and easy to perform, suboptimal position of the catheter tip is frequently encountered and can lead to wide range of complications from venous thrombosis, catheter extravasation with extravasation of infusate to intraperitoneal or intrapericardial space, liver injury and cardiac arrhythmias. Identification of catheter extravasation may be difficult and often confused with catheter related infection or necrotising enterocolitis. We present a series of three cases of intraperitoneal extravasation of umbilical venous catheter in the premature neonate with widely varying presentation from subtle biochemical changes to critical clinical signs with rapid and progressive deterioration.
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Edison et al. (2020) conducted a case report in Intraperitoneal extravasation of umbilical venous catheter (n=3). Umbilical venous catheter extravasation was evaluated on Clinical presentation. Intraperitoneal extravasation of umbilical venous catheters in premature neonates presented with widely varying signs, ranging from subtle biochemical changes to critical clinical deterioration.
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