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Images in neonatal medicine
Unintentional longline insertion into the descending aorta in a neonate with left congenital diaphragmatic hernia
  1. Kerri L Benn1,
  2. Sandeep Shetty1,
  3. Anne Marie Masna1,
  4. Anay M Kulkarni1,2
  1. 1 Neonatal Intensive Care Centre, Saint George’s Hospital NHS Foundation Trust, London, UK
  2. 2 Royal Brompton and Harefield NHS Foundation Trust, London, UK
  1. Correspondence to Dr Kerri L Benn, Neonatal Unit, Saint George's Hospital, London SW17 0QT, UK; kerri.benn{at}nhs.net

https://doi.org/10.1136/archdischild-2020-319293

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    A term neonate, birth weight 3250 g, was admitted to a tertiary surgical neonatal unit for management of left congenital diaphragmatic hernia (CDH). He was ventilated with a mean airway pressure of 14 mm Hg in 100% oxygen and received inhaled nitric oxide. He required two inotropes. Two experienced neonatal team members inserted a 1Fr Vygon peripherally inserted central catheter (longline) into the mid-arm below the axilla. It was …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.