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Perforation of Intrathoracic Great Veins by Parenteral Nutrition Catheters

Surgical Intensive Care Unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa

Lynn E. Rempe, R.N.

Surgical Intensive Care Unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa

Perforation of intrathoracic great veins by parenteral nutrition catheters has been previously reported as an unusual complication. The following three case reports illustrate the varied clinical picture that may appear following perforation. The differential diagnosis may be difficult to clarify so early recognition is essential if rapid deterioration in the patient's condition is to be avoided.

Each patient in this report provides a useful example for diagnosing this complication. Included are some basic suggestions to help the clinician in early detection.

Journal of Parenteral and Enteral Nutrition, Vol. 6, No. 6, 528-531 (1982)
DOI: 10.1177/0148607182006006528


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				E. A. Suddleson Cardiac Tamponade: A Complication of Central Venous Hyperalimentation JPEN J Parenter Enteral Nutr, September 1, 1986; 10(5): 528 - 529. [Abstract] [PDF]