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
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.
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.
Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed 2003;88:F260-2.
Beardsall K, White DK, Pinto EM, Kelsall AW. Pericardial effusion and cardiac tamponade as complications of neonatal long lines: Are they really a problem? Arch Dis Child Fetal Neonatal Ed 2003;88:F292-5.
Ramasethu J. Complications of vascular catheters in the neonatal Intensive Care Unit. Clin Perinatol 2008;35:199-222, x.
Nowlen TT, Rosenthal GL, Johnson GL, Tom DJ, Vargo TA. Pericardial effusion and tamponade in infants with central catheters. Pediatrics 2002;110(1 Pt 1):137-42.
Onal EE, Saygili A, Koç E, Türkyilmaz C, Okumus N, Atalay Y. Cardiac tamponade in a newborn because of umbilical venous catheterization: Is correct position safe? Paediatr Anaesth 2004;14:953-6.
Arya SO, Hiremath GM, Okonkwo KC, Pettersen MD. Central venous catheter-associated pericardial tamponade in a 6-day old: A case report. Int J Pediatr 2009;2009:910208.
Jouvencel P, Tourneux P, Pérez T, Sauret A, Nelson JR, Brissaud O, et al. Central catheters and pericardial effusion: Results of a multicentric retrospective study. Arch Pediatr 2005;12:1456-61.
Katumba-Lunyenya JL. Neonatal/infant echocardiography by the non-cardiologist: A personal practice, past, present, and future. Arch Dis Child Fetal Neonatal Ed 2002;86:F55-7.
