Portal vein thrombosis following umbilical vein catheterization in neonates
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2015, Vol 2, Issue 4
Abstract
Objective: To study the association of portal vein thrombosis in umbilical vein catheterized neonates. Study design: Prospective study. Subjects: Neonates in NICU with umbilical vein catheterization. Methods: Doppler ultrasound was performed for all neonates within 24-48 hours of catheter insertion, followed by 48-72 hours after its removal and weekly until hospital discharge or clot resolution. Diagnosis of Portal vein thrombosis was made, its extent, location and size was noted. Result: 30 newborns were screened for portal vein thrombosis. Among them, 17 (57.2%) babies had clinical sepsis, 14(46.7%) had blood transfusion and 7 (23.3%) had calcium infusion through the umbilical vein. Portal vein thrombosis was observed in 3 out of 30 babies (10%). 2 babies had the umbilical tip in inferior vena cava and one baby had in main portal vein. Color Doppler revealed, two babies had partial non-occlusive thrombus in the left portal vein and one baby had in the main portal vein. On follow up, the thrombus of all the babies had resolved by 1-2 weeks. All the 3(100%) neonates with thrombosis received calcium infusion through the umbilical vein and its association was found to be statistically significant with a P Value of 0.086. Conclusions: Calcium transfusion through umbilical vein catheterization is associated with term portal vein thrombosis, though most of them are clinically silent and resolve spontaneously. Ultrasound can be used as effective tool in early detection of the thrombus and hence as a guide for catheter removal.
Authors and Affiliations
Chandrashekhar C, Sushma Krishnegowda, Vikas. VM, Bhaktavatsala. H. R
Keywords
Related Articles
- EP ID EP325148
- DOI 10.17511/ijpr.2015.4.026
- Views 146
- Downloads 0
Neonatal behavioral assessment among survivors of birth asphyxia using T.Berry Brazelton's NBAS
Introduction: This study aims at providing baby-specific prognosisfor the survivors of birth asphyxia,regarding their neurological impairment, based on their behaviour assessment using T. Berry Brazelton′s NBAS. Methods:...
Clinical profile of tuberculosis in children up to 5 years of age
Introduction: Tuberculosis as a disease is of great public health problem in developing countries like India. Children contribute a significant proportion of disease burden and suffer from severe form of disease, but bec...
Hypernatremic dehydration in exclusively breast fed neonates: a clinical study
Introduction: Neonatal hypernatremic dehydration is a very serious condition and there has been an increase in the incidence of hypernatremic dehydration in breast fed infants in the first week of life. Hypernatremia in...
Abnormalities of lipid profile in overweight and obese Indian children
Objective: To identify the abnormalities of lipid profile early in overweight and obese children. Study design: Observational study. Setting: Vydehi Institute of Medical Sciences & Research Centre, Bangalore. Participant...
Profile of children admitted with seizures to a tertiary care rural hospital in Mandya district
Background: Seizures is one of the common causes of pediatric admissions to hospitals with significant mortality and morbidity. As there is limited data on profile regarding acute seizures episodes form the developing co...