Indian Journal of Critical Care Medicine

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VOLUME 21 , ISSUE 1 ( 2017 ) > List of Articles

CASE REPORT

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: 01-12-2017

Copyright Statement:  Copyright © 2017; The Author(s).


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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  1. Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed 2003;88:F260-2.
  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.
  3. Ramasethu J. Complications of vascular catheters in the neonatal Intensive Care Unit. Clin Perinatol 2008;35:199-222, x.
  4. 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.
  5. 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.
  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.
  7. 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.
  8. 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.
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