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Erschienen in:
01.04.2008 | Short Report
Confusion over markings on a percutaneous long line
Erschienen in: European Journal of Pediatrics | Ausgabe 4/2008
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A preterm male baby was delivered at 33 weeks of gestation weighing 1.2 kg. A silastic percutaneous long line (Vygon 24 gauge, 50 cm) was inserted via the left long saphenous vein to a length of 18 cm by a neonatologist. The 50-cm line was used due to a lack of availability of the shorter 30-cm type. The type of line and the length to which it had been inserted were not recorded in either the medical or nursing notes. An X-ray demonstrated that the tip was in the right atrium and needed to be pulled back [1]. The dressing was removed by a different doctor and a single mark on the line at the entry site was observed. It was therefore assumed that the line was in less than 5 cm and it was advanced in a further 20 cm. A contrast study demonstrated that the line was multiply coiled up in the right atrium (Fig. 1). The catheter was withdrawn, but became stuck distal to the sapheno-femoral junction and was finally removed in theatre. The line was delivered intact and had a true knot at the end (Fig. 2).
Fig. 1
Chest X-ray after injection of contrast into catheter
Fig. 2
Long line after removal
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