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Hosp Pract (1995) ; 38(1): 50-2, 2010 Feb.
Article in English | MEDLINE | ID: mdl-20469624

ABSTRACT

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 ofpleural cavity extravasation ofTPN 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.


Subject(s)
Catheterization, Central Venous/adverse effects , Catheterization, Peripheral/adverse effects , Chylothorax/etiology , Extravasation of Diagnostic and Therapeutic Materials/etiology , Iatrogenic Disease , Parenteral Nutrition, Total/adverse effects , Aged , Aged, 80 and over , Catheters, Indwelling/adverse effects , Causality , Chest Tubes , Chylothorax/diagnosis , Chylothorax/therapy , Equipment Failure , Extravasation of Diagnostic and Therapeutic Materials/diagnosis , Extravasation of Diagnostic and Therapeutic Materials/therapy , Glucose/analysis , Glucose/metabolism , Humans , Iatrogenic Disease/prevention & control , Male , Pleural Effusion/diagnosis , Pleural Effusion/etiology , Pleural Effusion/metabolism
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