Pericardial effusion and cardiac tamponade following percutaneously inserted central line insertion in an extremely low-birth-weight baby: Case report and successful management

Avinash Desai; Abnish Kumar; Praful Shanbhag; Forum Shah

doi:10.4103/0972-5229.198330

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Pericardial effusion and cardiac tamponade following percutaneously inserted central line insertion in an extremely low-birth-weight baby: Case report and successful management

Avinash Desai, Abnish Kumar, Praful Shanbhag, Forum Shah

Keywords : Extremely low-birth-weight baby, pericardial effusion, pericardiocentesis, percutaneously inserted central lines

Citation Information : Desai A, Kumar A, Shanbhag P, Shah F. Pericardial effusion and cardiac tamponade following percutaneously inserted central line insertion in an extremely low-birth-weight baby: Case report and successful management. Indian J Crit Care Med 2017; 21 (1):57-59.

DOI: 10.4103/0972-5229.198330

License: CC BY-ND 3.0

Published Online: 01-01-2017

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Abstract

Pericardial effusion and cardiac tamponade are rare complications of percutaneously inserted central lines (PICLs), in extremely low-birth-weight babies. This particular complication carries a high degree of mortality, if not suspected and diagnosed. Bedside echocardiography proves not only diagnostic but also can be lifesaving in these conditions. Here, we wish to report such a baby who suddenly deteriorated and showed cardiovascular instability 2 days after the insertion of PICL. Immediate bedside echocardiography helped pick up the effusion which was drained using a subxiphoid percutaneous approach.

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