Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical

Abstract

Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical Cardiac tamponade caused by central venous catheter in two newborns AbstractCardiac tamponade secondary to the use of central venous catheter is a rare complication; however, it is potentially reversible when it is caught in time. We report two cases of cardiac tamponade that was diagnosed using a transthoracic echocardiography, followed by urgent pericardiocentesis and surgical pericardial drainage as a complication from umbilical venous catheterization. In one case, the tip of the catheter was properly placed, and in the other case, it was not. In both cases, a hyperosmolar solution was being injected. Although it may be an uncommon situation, it should be always considered as a possibility in a newborn who develops cardiogenic shock without an apparent cause. ResumoTamponamento cardíaco secundário ao uso de cateter venoso central é uma complicação rara, porém potencialmente tratável, quando identificada a tempo. Nós relatamos dois casos de tamponamento cardíaco, diagnosticados por ecocardiograma transtorácico, seguido de pericardiocentese de urgência e drenagem pericárdica cirúrgica como complicação de cateterização venosa umbilical. Em um caso, a ponta do cateter estava adequadamente localizada e, no outro caso, não. Em ambos os casos, solução hiperosmolar estava sendo infundida. Apesar de situação incomum, esta deve ser sempre considerada em neonato, evoluindo com choque cardiogênico sem causa aparente.Descritores: Tamponamento cardíaco. Recém-nascido. Veias umbilicais. Cateterismo Venoso Central/efeitos adversos. Cateterismo/métodos.

Comparison of the central venous pressure from internal jugular vein and the pressure measured from the peripherally inserted antecubital central catheter (PICCP) in liver transplantation recipients

“…However, the cannulation for a central venous catheter (CVC) can place patients at risk, with fatal complications such as arrhythmia [3], pneumothorax [4], inadvertent arterial puncture [5], hemothorax [6] or cardiac tamponade [7,8]. …”

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

“…However, some studies have used ultrasound examination to demonstrate the incorrect positioning of catheters that the radiological examination showed to be ideally located [10][11][12] .…”

“…Some studies have shown that there is no difference in the risk of death from cardiac tamponade related to PICC for factors such as gestational age and weight 16,17 . Regarding general mortality among newborns with this condition, Nowlen et al 16 12,20,21 , reviews or meta-analyzes [15][16][17] . In the last 13 years, there have been original studies evaluating the complications related to the use of PICC 7,8,19,22 .…”

“…In the last 13 years, there have been original studies evaluating the complications related to the use of PICC 7,8,19,22 . However, there are few Brazilian studies on the subject that are not case reports 12,20 . Our work involves four cases, three of which proven to be related to PICC insertion and without mortality,…”

Cardiac tamponade secondary to perforation of innominate vein following central line insertion in a neonate

“…This complication occurs in up to 3% of the newborn cases with central venous access. [ 1 ] We report a case of cardiac tamponade following central venous cannulation that was diagnosed using a transthoracic echocardiography, managed by urgent surgical pericardial drainage. Complications with central line insertion in neonates occur most likely with guide wire aided insertion, with blind needling of a chest vein and with dilators.…”