Long lines and atypical anatomy
| Autor: | Chris J Vas, Chakrapani Vasudevan, Louise Hattingh, Katherine J Pettinger, Alexander I C Wordie |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Dextrocardia
business.industry Radiography medicine.medical_treatment Infant Newborn Anatomy Arterial catheter medicine.disease 03 medical and health sciences Situs inversus 0302 clinical medicine Superior vena cava 030225 pediatrics Pediatrics Perinatology and Child Health Medicine Humans Continuous positive airway pressure Neonatology business Tetralogy of Fallot |
| Zdroj: | Archives of disease in childhood. Education and practice edition. 105(6) |
| ISSN: | 1743-0593 |
| Popis: | A 780 g twin was born at 26 weeks gestation. Following surfactant, oxygen saturations were maintained with continuous positive airway pressure. Umbilical lines were inserted. Five days later, a 1 French long line was peripherally inserted, for ongoing parenteral nutrition. 1. Name items a–e on figure 1. Are their positions acceptable? 2. How might arterial and venous lines be differentiated? 1. Blood gas. 2. Colour/flow of blood on cannulation. 3. Flow of contrast from the line tip. 4. Radiograph. 3. Which of these are possible diagnoses? 1. Dextrocardia. 2. Dextrocardia situs inversus totalis. 3. Tetralogy of Fallot. 4. Dextroposition. Answers can be found on page 02. 1. Name items a–e on figure 1. Are their positions acceptable? 1. Peripherally inserted long line: uncertain position. A left-sided long line should cross the midline to enter the superior vena cava (SVC). 2. Umbilical arterial catheter (UAC): acceptable position. UACs lie on the left side of the … |
| Databáze: | OpenAIRE |
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