2006, Number 3
<< Back Next >>
Bol Med Hosp Infant Mex 2006; 63 (3)
Cardiac tamponade secondary to placement of central venous catheter in newborn.
Cáceres-Papadakis GU, Ugalde-Fernández JH, Gamboa-Cázares IA
Language: Spanish
References: 13
Page: 195-201
PDF size: 81.03 Kb.
ABSTRACT
Introduction. Central venous catheters are critical in the management of the sick neonate. Cardiac tamponade is an associated complication with the inadequate placement of central venous catheter, usually when the tip of the catheter is in the right atria.
Case reports. We present the cases of 5 newborns admitted to the NICU, with recent placement of central venous catheter and who results in cardiac tamponade with resolution after pericardic punction was performed, except in one patient.
Conclusions. Cardiac tamponade should be suspected when a newborn presents sudden hemodynamic dysfunction after placement of central venous catheter and patients should receive treatment even if echocardiogram is not available.
REFERENCES
Hogan M. Neonatal vascular catheters and their complications. Radiol Clin North Am. 1999; 37: 165-72.
Darling J, Newell S, Mohamdee O, Uzun O, Cullinane C, Dear P. Central venous catheter tip in the right atrium: a risk factor for neonatal cardiac tamponade. J Perinatol. 2001; 21: 461-4.
Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed. 2003; 88: F260-F2.
Beardsall K, White D, Pinto E, Kelsall A. 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-F5.
Nadroo A, Lin J, Green R, Magid M, Holzman I. Death as a complication of peripherally inserted central catheters in neonates. J Pediatr. 2001; 138: 599-601.
Capurro H. A simplified score for assessment of gestational age. J Pediatr. 1978; 3: 122-4.
Ballard J, Kazmaier N, Driver M. A simplified score for assessment of fetal maduration of newly born infants. J Pediatr. 1979; 95: 769-74.
Papile L. Incidence and evolution of the subependymal intraventricular hemorrhage: a study of infants with weights less than 1 500 g. J Pediatr. 1978; 92: 529-34.
Odd D, Page B, Battín M, Harding J. Does radio-opaque contrast improve radiographic localization of percutaneous central venous lines? Arch Dis Child Fetal Neonatal Ed. 2004; 89: F41-F3.
Fioravanti J, Buzzard C, Harris J. Pericardial effusion and tamponade as a result of percutaneous silastic catheter use. Neonatal Netw. 1998; 17: 39-42.
Lemus VM, Arriaga DJ, Salinas LM, Gómez VJ. Taponamiento cardiaco en el neonato como complicación de catéter venoso central. Gac Med Mex. 2004; 140: 455-61.
Rodríguez BI, García CM, Sánchez CG, Marroquín EA. Taponamiento cardiaco “tardío”: una complicación rara de los catéteres venosos centrales. Rev Mex Pediatr. 2000; 67: 180-3.
Nowlen T, Rosenthal G, Johnson G, Tom D, Vargo T. Pericardial effusion and tamponade in infants with central catheters. Pediatrics. 2002; 110: 137-42.