Tamponamento cardíaco por cateter central de inserção periférica em prematuros: papel da ultrassonografia à beira do leito e abordagem terapêutica.

Barreiros, Lívia Lopes; Andrade, Filipe Moreira de; Torres, Ronaldo Afonso; Magalhães, Lucas Vilas Bôas; Farnetano, Bruno dos Santos; Fiorelli, Rossano Kepler Alvim

doi:10.1590/0100-6991e-20181818

Cited by 10 publications

(4 citation statements)

References 20 publications

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“…A large number of scholars now recognize ultrasound as a superior method for tip evaluation to X-ray. [6,7] Even small-sized 1.9Fr catheters, still have a diameter larger than 1mm, which can be easily tracked by experienced sonographers. Flushing line with 2 mL normal saline and tracking the flow of the microbubbles helps to locate the tip.…”

Section: Discussionmentioning

confidence: 99%

“…For literature in neither English nor Chinese, translators were invited to help interpret the full text. In the end, 21 retrospective cohort studies [2,6,7,10–27] and 99 cases (from 75 case reports and case series) were found eligible.…”

Section: Methodsmentioning

confidence: 99%

“…A great deal of literature has pointed out that ultrasound is superior to X-ray in localizing catheter tip position. [6,7] Our guidelines need updates.…”

Section: Introductionmentioning

confidence: 99%

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The incidence and mortality rate of catheter-related neonatal pericardial effusion: A meta-analysis

Wang

Liu

et al. 2022

Medicine

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Backgroud: Neonatal pericardial effusion (PCE) is one of the most severe complications of central catheters in neonates with its rapid progression and high mortality. We aim to estimate the overall incidence and mortality of catheter-related neonatal PCE, more importantly, to identify possible predictors for clinical reference. Methods: We searched MEDLINE, Embase, Cochrane Library, Web of Science, china national knowledge infrastructure, Wanfang Data, and Sinomed databases for subject words “central catheter,” “neonate,” “pericardial effusion” and their random words till June 8, 2020. This meta-analysis is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Possible predictors of occurrences and deaths were extracted and assessed cooperatively. The pooled incidence rate of catheter-related neonatal PCE was calculated using a random effects model. Results: Twenty-one cohort studies and 99 cases were eligible. Pooled incidence is 3·8‰[2.2‰, 6.7‰]. Polyurethane catheters generate significantly more neonatal PCE than silicone counterparts (P < .01). 27% of the patients die. The mortality of patients with bradycardia is higher than others (P < .05). Catheters with a guidewire result in more deaths than umbilical venous catheter (UVC) and peripherally inserted central catheters (PICC) (P < .05). Without pericardiocentesis, mortality increases (P < .01). The difference of deaths between reposition and removing the catheter is insignificant (P > .05). Conclusion: Central catheters in Seldinger Technique (with a guidewire) put neonates at greater risk of PCE and consequent death. Silicone catheters excel at avoiding deadly catheter-related PCE, which could be a better choice in neonatal intensive care units (NICU). When catheter-related PCE occurs, timely diagnosis and pericardiocentesis save lives.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The incidence and mortality rate of catheter-related neonatal pericardial effusion: A meta-analysis

Wang

Liu

et al. 2022

Medicine

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“…Although the incidence of this condition is low, the mortality rate is extremely high. Because of the lack of specific clinical manifestations and low incidence, medical staff often ignore this condition and delay diagnosis and treatment (21). For all neonates with a PICC, if unexplainable and refractory dyspnea, apnea, abnormal heart rate and blood pressure, metabolic acidosis, or deterioration of the original disease conditions are present, caution should be taken regarding PICC-induced PCE/CT.…”

Section: Discussionmentioning

confidence: 99%

Pericardial Effusion/Cardiac Tamponade Induced by Peripherally Inserted Central Catheters in Very Low Birth Weight Infants: A Case Report and Literature Review

Hou

2020

Front. Pediatr.

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Background: Although pericardial effusion/cardiac tamponade (PCE/CT) is a rare complication of peripherally inserted central catheters (PICCs), with an incidence of 0. 07-2%, it is associated with high mortality and is often life threatening. We sought to improve understanding of PICC-induced PCE/CT among pediatricians. Case presentation:The clinical data of PICC-associated PCE/CT in a very low birth weight (VLBW) infant were summarized, and the relevant literature was also reviewed. Conclusions:In VLBW infants with a PICC, if unstable respiratory circulatory system states are observed that cannot be explained, such as tachycardia, bradycardia, apnea, hypotension, and metabolic acidosis, PICC-induced PCE/CT should be considered. Early diagnosis and pericardial puncture are key to saving infants' lives.

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Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

Cevik

Erek

2021

Trauma Case Reports

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Objective Hickman catheter placement rarely causes cardiac tamponade due to cardiac perforation in children. Cardiac perforation can be managed with timely perceive and appropriate approach. We present a case of the cardiac perforation related to Hickman catheter insertion in a 7-year-old girl and a review of the supporting literature. Case report The patient had previous history of Thalassemia and admitted to hospital for Hickman catheter placement for bone marrow transplantation. The catheter was placed in the right internal jugular vein by ultrasonography. During the postoperative period she had hypoxia, hypotension and tachycardia. The patient underwent an emergency surgery and there was a small perforation between vena cava superior and right atrium. That wound was managed by mediastinotomy. The patient was discharge on the 8th postoperative day. Conclusion Cardiac perforation is one of the rare and unexpected complications of Hickman catheter placement. Unfortunately, the complication may cause significant mortality. The prompt diagnosis and early intervention provides satisfactory results.

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Tamponamento cardíaco por cateter central de inserção periférica em prematuros: papel da ultrassonografia à beira do leito e abordagem terapêutica.

Cited by 10 publications

References 20 publications

The incidence and mortality rate of catheter-related neonatal pericardial effusion: A meta-analysis

The incidence and mortality rate of catheter-related neonatal pericardial effusion: A meta-analysis

Pericardial Effusion/Cardiac Tamponade Induced by Peripherally Inserted Central Catheters in Very Low Birth Weight Infants: A Case Report and Literature Review

Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

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