© 2003 Archives of Disease in Childhood Fetal and Neonatal Edition
LEADING ARTICLE
Intensive care
Neonatal long lines
Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, UK Correspondence to: Dr G Menon, Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SU, UK; gopi.menon@luht.scot.nhs.uk
Are they safe?
Keywords: cardiac tamponade; catheterisation; central venous; complications; infant
Abbreviations: CV, central venous; PCE, pericardial effusion; PN, parenteral nutrition; PVC, poly(vinyl chloride); UVC, umbilical venous catheter
| The first 150 words of the full text of this article appear below. |
Central venous (CV) lines have been the subject of much professional debate and public exposure in the UK following an enquiry into the deaths of four children in Manchester as the result of cardiac tamponade. One of the recommendations of this review was that CV line tips should not be placed within the cardiac outline.1 This has been the recommendation of CV line manufacturers for some time.
In this issue, Beardsall et al report a retrospective questionnaire survey of pericardial effusion (PCE) and tamponade associated with percutaneously inserted central lines, together with a survey of current practice in percutaneously inserted central line use in neonatal units around the UK.2 They compare the incidence of PCE in units with different approaches to the use of percutaneously inserted central lines. Despite likely ascertainment and response bias, and unknown confounders, this study adds an important piece to the complex puzzle of
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