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Do Not Pull Too Hard (Abstract)

K Elmalik, M McCullagh

Department of Paediatric Surgery

University Hospital Lewisham

London, United Kingdom



Fine bore catheters inserted peripherally intended for central delivery of total parenteral nutrition are known to be associated with many complications – blockage, infection, accidental dislodgement and others. We present a patient in whom the removal resulted in a problem not frequently described. The inserted long line snapped on attempted removal and required operative retrieval. These peripherally inserted central catheters will continue to be used in the successful management of low birth weight infants. Suggestions are made regarding how to avoid this problem.

Key words: peripherally inserted central catheter (PICC), total parenteral nutrition (TPN)


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