Acute neonatal collapse resulting from pericardial effusion

Bagtharia, Rajesh; Kempley, Stephen; Hla, T.

doi:10.1007/s004310100828

Cited by 8 publications

(3 citation statements)

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“…A PICC-induced PCE can lead to sudden CT, which has a 75% mortality rate; however, in patients undergoing pericardiocentesis, the mortality decreases to 8% (1), which is close to the mortality (6.25%) among the 24 cases examined. Some researchers have suggested that if infants with PICC have a sudden instability in cardiopulmonary function that cannot be explained by other reasons, emergency pericardiocentesis and drainage should be considered (14). In addition, direct drainage with a PICC can be performed with sudden CT, although the approach may not be successful.…”

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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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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“…4 Case study reports of neonates with PCEs document fl uid volume aspirates ranging from 8 to 37 mL. [5][6][7][8] According to Zahka, pericardial tamponade caused by much smaller volumes can occur with rapid accumulation of fl uid. 9 Causes of PCE within the neonatal population include congestive heart failure caused by anemia or myocarditis, neonatal pneumonia, recent cardiac surgery, 9,10 malpositioned CVCs, 4-6,10-15,28 and viral or infl ammatory pericarditis.…”

Section: Etiology and Pathophysiologymentioning

confidence: 98%

Central Venous Catheter-Induced Pericardial Effusion in a Neonate: A Case Study and Recommendations for Practice

Shannon¹

2014

Neonatal Network

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Pericardial effusion (PCE) and tamponade as a complication of central venous catheters (CVCs) continues to occur in the neonatal population. It is imperative that clinicians managing neonates with CVCs practice vigilance regarding proper catheter tip location. Furthermore, it is of equal importance that clinicians have a high index of suspicion regarding the catheter tip location any time a neonate with a CVC has a clinical deterioration. It is clear that the ultimate outcome of PCE depends on rapid identifi cation and a quick response when pericardial tamponade occurs. PCE can occur any time during the duration of the catheter dwell time, and education of staff caring for neonates will assist in prevention and rapid treatment.

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“…Sir: In response to the original paper of Drs Bagtharia, Kempley and Hla [1], we would insist that pericardial effusion related to a central venous catheter is not a rare complication of a central line and is a life threatening event.…”

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confidence: 96%