Cardiac tamponade from peripherally-inserted central venous catheters in neonates: Three case reports
Document Type
Article
Publication Date
1-1-2021
Abstract
Pericardial effusion (PCE) and cardiac tamponade (CT) are rare but life-threatening complications of percutaneously-inserted central catheter (PICC) use in neonates. There is often a lack in index of suspicion in a neonate with sudden deterioration, resulting in high mortality. We describe a series of three cases of PICC-related PCE/CT in low birth weight infants whose timely diagnosis with echocardiography and pericardiocentesis led to successful resuscitation and survival. We suggest that echocardiographic skills to determine tip position and pericardiocentesis be taught in neonatal resuscitation programs to ensure good outcomes of this otherwise fatal complication. © 2021, Malaysian Medical Association. All rights reserved.
Keywords
Cardiac tamponade, Neonatal, Low birth weight infants, Resuscitation, Central venous catheters, Pericardiocentesis
Divisions
paediatrics
Funders
None
Publication Title
Medical Journal of Malaysia
Volume
76
Issue
4
Publisher
Malaysian Medical Association