Central XXXX in surgical newborns.

@entity1 @entity295 @entity14385
We examined central venous catheter (CVC) @entity295 in newborn surgical @entity1 , as this group appeared to have a higher incidence of this complication. During a 3-year period 79 @entity1 on the surgical service required a tunneled, cuffed, Broviac CVC. Nineteen @entity1 (24% or 9.9 episodes per 1000 catheter days) had proven @entity295 and 8 (10% or 1.9/1000 catheter days) had suspected @entity295 . An intestinal stoma was definitely related to @entity14385 ( p<0.001). Other risk factors included lower gestational age, more operations, and younger age at first stoma. Temperature, white blood cell (WBC) count, and platelet count did not correlate with @entity14385 . We found no better indicator of @entity14385 than the presentation of an ill @entity1 . Certainly temperature, WBC, and platelet count are not reliable indicators. Surgeons have little control over the factors that were found to be related to @entity14385 . It would appear reasonable from these results to maintain a high index of suspicion in the high-risk groups, to use peripherally inserted central catheters (PIC lines) as the first line of long-term vascular access, and to bring CVCs out of a nonabdominal site, perhaps the scalp, in @entity1 with stomas.
