Death as a complication of peripherally inserted central catheters in neonates

Nadroo, Ali M.; Lin, Jing; Green, Robert S.; Magid, Margret S.; Holzman, Ian R.

doi:10.1067/mpd.2001.111823

Cited by 120 publications

(132 citation statements)

References 9 publications

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“…2 A recent survey of the period between 1995 and 2000 in the US showed that nearly 30% of NICUs have seen at least one case of perforation of the myocardium and 20% have reported at least one death caused by cardiac tamponade related to PICC. 1 In infants with PICCs, cardiac tamponade is considered a consequence of myocardial perforation owing to malposition or migration of the catheter, which may lead to sudden death 1,6,7 even in the absence of any antemortem symptom or sign. 6 Successful resuscitation depends on timely pericardiocentesis.…”

Section: Discussionmentioning

confidence: 99%

“…However, percutaneous central venous cannulation may be associated with a number of complications, including occlusion, infection, thrombosis, breakage, migration and displacement. 1 Less common complications include extravasation of fluid into the peritoneal, retroperitoneal or pleural spaces, pericardial effusions, cardiac arrhythmias and endocarditis. 2,3 We report the case of a preterm infant with a rare complication occurred during peripheral insertion of a central venous catheter.…”

Section: Introductionmentioning

confidence: 99%

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Cannula tip intravascular migration in an infant

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cannula tip intravascular migration in an infant

et al. 2006

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“…According to this study, the migration of the point of the catheter is relatively common, but it is indisputable that this is a type of AE that can lead to serious complications 31 .…”

Section: Resultsmentioning

confidence: 99%

“…It is essential to highlight that in the period under study there were four notifications of deaths -the most severe form of AE -related to procedures of insertion of vascular catheter: three while using PICC and one while use CVC. It is also essential to point out that the scale of occurrence of death as a complication of use of vascular catheter is unacceptable, and uniform orientations must be established to avoid this complication 31 .…”

Section: Resultsmentioning

confidence: 99%

Tecnovigilância no Brasil: panorama das notificações de eventos adversos e queixas técnicas de cateteres vasculares

Oliveira

Rodas

2017

Ciênc. saúde coletiva

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“…Nadroo et al [7] report three deaths caused by cardiac tamponade out of 390 placements of PICC. Nowlen et al [2] reported 14 cases of pericardial effusion in newborns with deep venous access in six different units of neonatology over 2 years.…”

Section: Fig 1 -Echocardiogram Of Case 1 Showing Severe Pericardial mentioning

confidence: 99%

Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical

Monteiro¹,

Canale²,

Barbosa³

et al. 2008

Rev Bras Cir Cardiovasc

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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.

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Death as a complication of peripherally inserted central catheters in neonates

Cited by 120 publications

References 9 publications

Cannula tip intravascular migration in an infant

Cannula tip intravascular migration in an infant

Tecnovigilância no Brasil: panorama das notificações de eventos adversos e queixas técnicas de cateteres vasculares

Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical

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