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