2010Hospital PracticeRequires access

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

Thomas J. Johnson, Fady Jamous, Alma Kooistra, Edward T. Zawada

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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.

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What this paper is about

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.

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OpenAlex reports 8 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available 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.

Key concepts: Medicine, Parenteral nutrition, Peripherally inserted central catheter, Extravasation, Pleural cavity, Complication, Chylothorax, Pleural effusion

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