Iatrogenic Chylothorax Due to Pleural Cavity Extravasation of Total Parenteral Nutrition in Two Adults Receiving Nutrition through a Peripherally Inserted Central Catheter

Extravasation of total parenteral nutrition (TPN) delivered via central lines is a known potential complication, but significant extravasations of infusate into the pleural space when using peripherally inserted central catheters (PICCs) have not been reported in adults. We report 2 cases of pleural...

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Bibliographic Details
Published in:Hospital practice (1995) 2010-02, Vol.38 (1), p.50-52
Main Authors: Johnson, Thomas J., Jamous, Fady G., Kooistra, Alma, Zawada, Edward T.
Format: Article
Language:English
Subjects:
adult
Aged
Aged, 80 and over
Catheterization, Central Venous - adverse effects
Catheterization, Peripheral - adverse effects
Catheters, Indwelling - adverse effects
Causality
Chest Tubes
Chylothorax - diagnosis
Chylothorax - etiology
Chylothorax - therapy
complications
Equipment Failure
Extravasation of Diagnostic and Therapeutic Materials - diagnosis
Extravasation of Diagnostic and Therapeutic Materials - etiology
Extravasation of Diagnostic and Therapeutic Materials - therapy
geriatrics
Glucose - analysis
Glucose - metabolism
Humans
Iatrogenic Disease - prevention & control
Male
Parenteral Nutrition, Total - adverse effects
Pleural Effusion - diagnosis
Pleural Effusion - etiology
Pleural Effusion - metabolism
total parenteral nutrition
venous access
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Summary:Extravasation of total parenteral nutrition (TPN) delivered via central lines is a known potential complication, but significant extravasations of infusate into the pleural space when using peripherally inserted central catheters (PICCs) have not been reported in adults. We report 2 cases of pleural cavity extravasation of TPN delivered via a PICC. Measurement of the glucose level of the effusate is a quick way to determine the presence of TPN and should be considered in any patient receiving TPN via any type of central line with a rapidly developing effusion.
ISSN:2154-8331
2377-1003
DOI:10.3810/hp.2010.02.278