Weekly updates #7

Jain A, Deshpande P, Shah P: Peripherally inserted central catheter tip position and risk of associated complications in neonates. J Perinatol 2012. This retrospective cohort study showed more complications when catheters were mid-clavicular, in terms of infiltration, breakage and leaking, compared to brachiocephalic or SVC or IVC positions.

Sgro M, Campbell DM, Kandasamy S, Shah V: Incidence of chronic bilirubin encephalopathy in canada, 2007–2008. Pediatrics 2012. Even though it is rare, chronic after effects of kernicterus still occur in Canada,  with about 10 cases per year. Unfortunately this study was started 6 months after we published the guidelines for which  I was the primary author that recommended routine screening with structured follow up. Doesn’t seem to have worked! At least not yet.

About Keith Barrington

I am a neonatologist and clinical researcher at Sainte Justine University Health Center in Montréal
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