{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:41Z","timestamp":1756425881238,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"unspecified","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Shenzhen SanMing Project of Medicine","award":["SZSM 201911016"],"award-info":[{"award-number":["SZSM 201911016"]}]},{"name":"National Health and Medical Research Council Clinical Career Development Fellowship","award":["1053889"],"award-info":[{"award-number":["1053889"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,15]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Central venous catheter (CVC) placement is common in the care of very low birthweight (VLBW) preterm neonates. Although it is generally considered to be safe, CVC placement is associated with complications, including extravasation that may lead to significant morbidity and mortality. We report the clinical course of an extremely preterm neonate born at 27 weeks gestation, and another 5 VLBW preterm neonates reported in the literature with hemidiaphragmatic paralysis related to extravasation of parenteral solution from CVC placement. In VLBW preterm neonates, spontaneous recovery of diaphragmatic paralysis related to extravasation of parenteral solution is possible.<\/jats:p>","DOI":"10.1136\/bcr-2021-242390","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T11:23:30Z","timestamp":1622114610000},"page":"e242390","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hemidiaphragmatic paralysis related to extravasation of parenteral solution in very low birthweight neonates"],"prefix":"10.1136","volume":"14","author":[{"given":"Hai-Bo","family":"Huang","sequence":"first","affiliation":[{"name":"NICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian-Shen","family":"Zhang","sequence":"additional","affiliation":[{"name":"NICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David G","family":"Tingay","sequence":"additional","affiliation":[{"name":"Neonatology, Royal Children's Hospital, Parkville, Victoria, Australia"},{"name":"Neonatal Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Yin","family":"Cheung","sequence":"additional","affiliation":[{"name":"Neonatal Inetnsive Care, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,27]]},"reference":[{"key":"2025082804364829000_14.5.e242390.1","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050041"},{"key":"2025082804364829000_14.5.e242390.2","first-page":"331","article-title":"A case of neonatal bilateral diaphragmatic paralysis requiring surgery","volume":"20","author":"Bowman","year":"1984","journal-title":"Aust Paediatr J"},{"key":"2025082804364829000_14.5.e242390.3","first-page":"386","article-title":"Hemidiaphragmatic paralysis as a complication of central venous catheterization in a neonate","volume":"15","author":"Williams","year":"1995","journal-title":"J Perinatol"},{"key":"2025082804364829000_14.5.e242390.4","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.jpedsurg.2011.03.065","article-title":"Hemidiaphragmatic paralysis in preterm neonates: a rare complication of peripherally inserted central catheter extravasation","volume":"46","author":"Tosello","year":"2011","journal-title":"J Pediatr Surg"},{"key":"2025082804364829000_14.5.e242390.5","doi-asserted-by":"crossref","first-page":"384","DOI":"10.5578\/tt.2370","article-title":"Phrenic nerve injury due to thoracentesis for TPN effusion in a preterm newborn: consecutive two unusual complications","volume":"59","author":"\u00d6zdemir","year":"2011","journal-title":"Tuberk Toraks"},{"key":"2025082804364829000_14.5.e242390.6","doi-asserted-by":"crossref","first-page":"e65","DOI":"10.1055\/s-0037-1601566","article-title":"A rare complication of central venous catheter extravasation in a preterm neonate: Hemidiaphragmatic paralysis","volume":"07","author":"Hobson","year":"2017","journal-title":"AJP Rep"},{"key":"2025082804364829000_14.5.e242390.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.10.001"},{"key":"2025082804364829000_14.5.e242390.8","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115574000"},{"key":"2025082804364829000_14.5.e242390.9","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1177\/0148607116644714","article-title":"Percutaneously inserted central Catheter\u2013Related pleural effusion in a level III neonatal intensive care unit: a 5-year review (2008\u20132012)","volume":"41","author":"Bashir","year":"2017","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2025082804364829000_14.5.e242390.10","doi-asserted-by":"publisher","DOI":"10.1177\/0148607191015005513"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:36:52Z","timestamp":1756381012000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,27]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2021-242390"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242390","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}