title: Iatrogenic chylothorax due to pleural cavity extravasation of total parenteral nutrition in two adults receiving nutrition through a peripherally inserted central catheter.
abstract: Extravasation of total parenteral nutrition (TPN) delivered via central lines is a known potential complication, but significant extravasations of infusate into the pleural space when using peripherally inserted central catheters (PICCs) have not been reported in adults. We report 2 cases ofpleural cavity extravasation ofTPN delivered via a PICC. Measurement of the glucose level of the effusate is a quick way to determine the presence of TPN and should be considered in any patient receiving TPN via any type of central line with a rapidly developing effusion.
authors.affiliation: Avera McKennan Hospital and University Health Center, Sioux Falls, SD 57117, USA. thomas.johnson@avera.org
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Johnson
authors.forename: Fady G
authors.initials: FG
authors.lastname: Jamous
authors.forename: Alma
authors.initials: A
authors.lastname: Kooistra
authors.forename: Edward T
authors.initials: ET
authors.lastname: Zawada
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D015984:Causality; D015505:Chest Tubes; D002916:Chylothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004868:Equipment Failure; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005947:Glucose / Q000032:analysis / Q000378:metabolism; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism
chemical_list: D005947:Glucose