BACKGROUND Umbilical venous lines are sometimes complicated with pleural and or pericardial effusion, often due to line migration. CASE CHARACTERISTICS Bilateral chylous pleural effusion without pericardial effusion in a 28 weeks, extremely low birth infant who was on total parenteral nutrition. OBSERVATIONS/INVESTIGATIONS Investigations including chest x ray and 2D echocardiogram showed bi...

Rhodococcus is an emerging cause of opportunistic infection in immunocompromised patients, most commonly causing cavitary pneumonia. It has rarely been reported as a cause of isolated bacteremia. However, the relationship between bacteremia and central venous catheter is unknown. Between 2002 and 2010, the characteristics and outcomes of seventeen cancer patients with Rhodococcus bacteremia and...

A retrospective study of our experience in the placement of 19 consecutive balloon-tipped catheters in the pulmonary artery of 18 children disclosed that the procedure can be performed with relative ease in the intensive care unit without the aid of fluoroscopy. Insertion of the catheters was not associated with any serious complications. Catheter malfunction, however, occurred in 9 of 18 patie...

in order to determine the effect of valsalva maneuver and head rotation on the internal jugular vein (ijv) diameter and cross-sectional area and overlap with the carotid artery (ca) and find the best technique for safe cannulation of the ijv and decrease the risk of ca puncture, the diameter of both the ijv and the ca and percentage of overlap between the two vessels and cross-sectional area of...

INTRODUCTION The insertion of percutaneous central venous catheters is a common procedure in neonatal intensive care nurseries. Placement of the catheter tip in a large central vein is most desirable. Occasionally, due to difficult venous access, catheter tips are left in places that are less than ideal. CASE PRESENTATION A female infant with a complicated gastroschisis developed signs of sho...

A 25-year old female, with a background of asthma, presented with acute shortness of breath. On examination the patient was in severe respiratory distress with expiratory wheezes. She was nebulized with ipratropium and fenoterol. A chest x-ray revealed pseudodextrocardia and air trapping (A). She did not respond to inhaled bronchodilator therapy. Intravenous hydrocortisone and magnesium sulphat...