RESUMO
Twenty five newborns weighting less than 1501 g were followed after electively installing a percutaneous catheter with subcutaneous tunneling; they were used for parenteral nutrition through the basilic, cephalic or external jugular veins, lasting an average of 10.3 +/- 2.08 days. Complications encountered were obstruction, accidental extraction, edema and phlebitis. There were no complications at the puncture site or subcutaneous tunnel. The arms were the first choice site of installation and were occluded with sterile gauze and adhesive tape in a bracelet form. We concluded that this technique is an appropriate alternative for parenteral nutrition in the low birth weight newborn.
Assuntos
Cateterismo Venoso Central/métodos , Recém-Nascido de Baixo Peso , Nutrição Parenteral , Cateterismo Venoso Central/efeitos adversos , Feminino , Humanos , Recém-Nascido , Masculino , Estudos ProspectivosRESUMO
We present a case-report of a six weeks old premature baby who developed acute acalculous gangrenous cholecystitis related to septicemia due to Citrobacter freundii. We analyze other etiological factors and remark the importance of physical examination and ultrasonographic exploration of the biliary tract. Early cholecystectomy is suggested.
Assuntos
Colecistite/etiologia , Doenças do Prematuro , Doença Aguda , Colecistectomia , Colecistite/diagnóstico , Colecistite/cirurgia , Citrobacter , Infecções por Enterobacteriaceae/complicações , Humanos , Lactente , Recém-Nascido , Perfuração Intestinal , Masculino , Necrose , Sepse/complicações , UltrassonografiaRESUMO
We discuss the case of a premature baby weighing 1,200 g who developed right diaphragmatic paralysis when a venous cutdown was performed on his internal jugular vein. Acquired unilateral diaphragmatic paralysis has been associated with obstetric trauma of the cervical plexus and surgical procedures of the neck and thorax, when the phrenic nerve is injured. We suggest fluoroscopy as the best diagnostic method; early diaphragmatic plication reduces the morbimortality of these patients.
Assuntos
Sangria/efeitos adversos , Doenças do Prematuro , Veias Jugulares , Nervo Frênico/lesões , Paralisia Respiratória/etiologia , Enterocolite Pseudomembranosa/complicações , Enterocolite Pseudomembranosa/terapia , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Masculino , Nutrição ParenteralRESUMO
PIP: Tetanus is an infectious disease that can occur at any age and is highly lethal. In the present study, a review was made of all cases of tetanus between January 1979 and June 1985 at the University Hospital "Dr. Eleuterio Gonzalez" in Monterrey, Nuevo Leon, Mexico. Out of a total of 76 cases, 10 were newborns. Of these, 5 were female and 5 male. The average age at admission was 8.5 days and the period of Collis was 32.3 hours. All had been born in a septic environment at term and with an average birthweight of 3120 kgs. Using Jandra's classification, 3 cases were considered mild, 5 moderate, and 2 severe. The laboratory tests were not relevant. 9 patients were given Phenobarbital and Diazepam as sedatives; 6 received total parenteral alimentation, and 5 newborns were given mechanical ventilation during an average of 26.6 days. The most common complications were respiratory problems and septicemia. The average length of hospitalization was 26.3 days with a mortality rate of 50%. (author's)^ieng