Cardiac tamponade due to peripheral inserted central catheter in newborn

Dornaus, Maria Fernanda Pellegrino da Silva; Portella, Maria Aparecida; Warth, Arno Norberto; Martins, Rosana Aparecida Lacava; Magalhães, Maurício; Deutsch, Alice D’Agostini

doi:10.1590/s1679-45082011rc1885

Cited by 1 publication

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In accordance with our findings, da Silva Dornaus et al also reported a preterm neonate (30 weeks) with cardiac tamponade secondary to PICC [8]. The neonate showed episodes of bradycardia, low O 2 saturation, cyanosis, dyspnea, and worsening of clinical condition 5 days after PICC insertion.…”

Section: Discussionsupporting

confidence: 92%

“…Radiography and echocardiography examinations revealed that the tip of the catheter was in the cardiac chamber with pericardial effusion and signs of tamponade. These authors also reported improvement in the neonate's clinical situation after immediate cardiac puncture and extraction of 25 mL of fluid similar to the infused solution [8].…”

Section: Discussionmentioning

confidence: 86%

“…Although use of a PICC has many advantages for the treatment of neonates, catheter malposition may result in serious complications that could be life-threatening [4]. These potential complications (sepsis, embolism, intravascular thrombosis, pleural effusion, and pericardial effusion with tamponade) indicate that insertion of a PICC line requires special medical qualification and follow-up examination to ensure its Open Access *Correspondence: zarkesh@tums.ac.ir proper location (the inferior third of the superior vena cava) [5][6][7][8]. Of the above complications, tamponade is a rare but fatal condition that occurs following catheter dislocation and pericardial perforation [8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report

Zarkesh

Haghjoo

2022

J Med Case Reports

View full text Add to dashboard Cite

Background Although the use of a peripherally inserted central catheter (PICC) has many advantages for the treatment of neonates, catheter malposition may result in serious complications that could be life-threatening. We report the case of a 10-day-old neonate with cardiac tamponade secondary to a PICC line who was successfully treated by pericardiocentesis. Case presentation An Iranian (Asian) preterm male neonate was born by Cesarean section with a birth weight of 1190 g and a first-minute Apgar score of 7. Based on an increased respiratory distress syndrome (RDS) score from 4 to 7, resuscitation measures and intubation were performed at the neonatal intensive care unit (NICU). On day 3 after birth, a PICC line was inserted for parenteral therapy. A chest X-ray confirmed that the tip of the PICC line was in the appropriate position. Mechanical ventilation was discontinued 72 h post-NICU admission because of the improved respiratory condition. On the day 10 post-NICU admission, he suddenly developed hypotonia, apnea, hypoxia, hypotension, and bradycardia. Resuscitation and ventilation support were immediately started, and inotropic drugs were also given. Emergency echocardiography showed a severe pericardial effusion with tamponade. The PICC line was removed, and urgent pericardiocentesis was carried out. The respiratory situation gradually improved, the O2 saturation increased to 95%, and vital signs remained stable. Conclusions Dramatic improvement of the neonate's clinical responses after pericardial drainage and PICC removal were suggestive of PICC displacement, pericardial perforation, and cardiac tamponade.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 86%