1988
DOI: 10.1136/pgmj.64.750.290
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Cardiac tamponade complicating central venous catheter

Abstract: Summary Cardiac tamponade complicating central venous catheters is usually fatal. We present a 23 year old woman who developed cardiac tamponade 12 hours after the insertion of a subclavian line. Early recognition of this complication and urgent pericardiocentesis led to her survival.

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Cited by 8 publications
(6 citation statements)
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“…Symptoms and signs are usually sudden and include nausea, dyspnoea, retrosternal chest pain, cyanosis, venous engorgement, pulsus paradoxus, and confusion. 5 The most common ®ndings noted by Nasim and colleagues 3 from case reports were hypotension (88%), raised central venous pressure (70%) and a disturbance in cardiac rhythm (67%), mainly tachycardia. However in 29% of these cases death occurred suddenly after`vague premonitory signs', 3 as in the present report.…”
Section: Discussionmentioning
confidence: 95%
“…Symptoms and signs are usually sudden and include nausea, dyspnoea, retrosternal chest pain, cyanosis, venous engorgement, pulsus paradoxus, and confusion. 5 The most common ®ndings noted by Nasim and colleagues 3 from case reports were hypotension (88%), raised central venous pressure (70%) and a disturbance in cardiac rhythm (67%), mainly tachycardia. However in 29% of these cases death occurred suddenly after`vague premonitory signs', 3 as in the present report.…”
Section: Discussionmentioning
confidence: 95%
“…Insertion approach and site confirmation Catheter position should be checked via x-ray as soon as it is placed and should follow the "Greenall criterion" where the tip should not lie more than 2 cm below an imaginary line that crosses the lower surfaces of the clavicular heads [12,21]. In the case of internal jugular vein approach, the preferred catheter insertion site is as high as possible, while for subclavian approach, it is as lateral as possible [12].…”
Section: Recommendation Descriptionmentioning
confidence: 99%
“…If symptoms and vital signs do not improve, the next step is to remove the central venous catheter and perform pericardiocentesis [ 21 ].…”
Section: Reviewmentioning
confidence: 99%
“…[2] Ruptured superior thyroid artery [3] and cardiac tamponade have also been reported. [4] We describe here a case of spinal cord infarction as a consequence of dialysis catheter insertion, a hitherto unrecognized complication.…”
Section: Introductionmentioning
confidence: 95%