RESUMO
Percutaneously inserted central venous catheters (PICC) are used in premature infants to deliver intravenous fluids, total parenteral nutrition (TPN) and medications. This article reports a case in which the baby developed pericardial tamponade within 3 hours of starting TPN through a PICC. This was successfully treated with percutaneous subxiphoid pericardiocentesis. Pericardial tamponade should be suspected in any infant with a PICC line in place, and who suddenly develops shock like symptoms, non-attributable to usual causes.
Assuntos
Doença Aguda , Tamponamento Cardíaco/etiologia , Cateterismo Venoso Central/efeitos adversos , Feminino , Seguimentos , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Nutrição Parenteral/efeitos adversos , Pericardiocentese , Medição de Risco , Resultado do TratamentoRESUMO
"Porcine bronchus" is a right upper lobe bronchus arising directly from the trachea. This is an infrequent congenital abnormality and it usually represents the displaced origin of a normal bronchus. We herewith report a case of a child who was diagnosed to have tracheal bronchus in neonatal period and followed subsequently until 13 months of age.
Assuntos
Brônquios/anormalidades , Anormalidades Congênitas/diagnóstico , Seguimentos , Humanos , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Síndrome do Desconforto Respiratório do Recém-Nascido/diagnóstico , Tomografia Computadorizada por Raios X , Traqueia/anormalidadesAssuntos
Antibacterianos , Infecção Hospitalar/diagnóstico , Surtos de Doenças , Resistência a Múltiplos Medicamentos , Quimioterapia Combinada/uso terapêutico , Feminino , Humanos , Incidência , Índia/epidemiologia , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Masculino , Meningites Bacterianas/epidemiologia , Salmonella/classificação , Infecções por Salmonella/diagnóstico , Taxa de SobrevidaRESUMO
Anatomical, functional and neurochemical maturation of pain pathways is well developed in fetus and neonates. Various physiological and behavioural responses to painful stimuli in neonates substantiate their ability to feel pain. Biological effects of pain are systematically studied in human fetus and neonates. Pain expressions in the newborn not only reflect tissue damage but are a function of ongoing behavioural state. The ultimate aim should be to keep neonates free from pain and other stressful stimuli as far as possible, by advocating minimal handling protocol, giving comforts after painful procedures, local anesthesia while carrying out painful procedures like cutdown and insertion of chest tubes, and if a baby is ventilated fentanyl and/or midazalam infusion must be carried out during initial periods of ventilation.