Left upper limb long line (neonate with RDS)

Case contributed by Dr Jeremy Jones

Presentation

29 week neonate with respiratory compromise. Non-invasive ventillation. New left upper limb long line.

Patient Data

Age: 1 day
Gender: Female

Left upper limb PICC with tip at the level of the superior cavoatrial junction.

NG tube position appropriate.

Streaky opacification radiating from both hila with patchy airspace opacification in the left upper and right lower zones. Appearances of partially treated RDS.

Case Discussion

Upper limb PICC insertion in preterm neonates is unusual. Umbilical catheters and lower limb PICC are much more likely.

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