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Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report
BACKGROUND: Although the use of a peripherally inserted central catheter (PICC) has many advantages for the treatment of neonates, catheter malposition may result in serious complications that could be life-threatening. We report the case of a 10-day-old neonate with cardiac tamponade secondary to a...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335958/ https://www.ncbi.nlm.nih.gov/pubmed/35902974 http://dx.doi.org/10.1186/s13256-022-03506-4 |
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author | Zarkesh, Mohammad Reza Haghjoo, Mokaram |
author_facet | Zarkesh, Mohammad Reza Haghjoo, Mokaram |
author_sort | Zarkesh, Mohammad Reza |
collection | PubMed |
description | BACKGROUND: Although the use of a peripherally inserted central catheter (PICC) has many advantages for the treatment of neonates, catheter malposition may result in serious complications that could be life-threatening. We report the case of a 10-day-old neonate with cardiac tamponade secondary to a PICC line who was successfully treated by pericardiocentesis. CASE PRESENTATION: An Iranian (Asian) preterm male neonate was born by Cesarean section with a birth weight of 1190 g and a first-minute Apgar score of 7. Based on an increased respiratory distress syndrome (RDS) score from 4 to 7, resuscitation measures and intubation were performed at the neonatal intensive care unit (NICU). On day 3 after birth, a PICC line was inserted for parenteral therapy. A chest X-ray confirmed that the tip of the PICC line was in the appropriate position. Mechanical ventilation was discontinued 72 h post-NICU admission because of the improved respiratory condition. On the day 10 post-NICU admission, he suddenly developed hypotonia, apnea, hypoxia, hypotension, and bradycardia. Resuscitation and ventilation support were immediately started, and inotropic drugs were also given. Emergency echocardiography showed a severe pericardial effusion with tamponade. The PICC line was removed, and urgent pericardiocentesis was carried out. The respiratory situation gradually improved, the O(2) saturation increased to 95%, and vital signs remained stable. CONCLUSIONS: Dramatic improvement of the neonate's clinical responses after pericardial drainage and PICC removal were suggestive of PICC displacement, pericardial perforation, and cardiac tamponade. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13256-022-03506-4. |
format | Online Article Text |
id | pubmed-9335958 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-93359582022-07-30 Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report Zarkesh, Mohammad Reza Haghjoo, Mokaram J Med Case Rep Case Report BACKGROUND: Although the use of a peripherally inserted central catheter (PICC) has many advantages for the treatment of neonates, catheter malposition may result in serious complications that could be life-threatening. We report the case of a 10-day-old neonate with cardiac tamponade secondary to a PICC line who was successfully treated by pericardiocentesis. CASE PRESENTATION: An Iranian (Asian) preterm male neonate was born by Cesarean section with a birth weight of 1190 g and a first-minute Apgar score of 7. Based on an increased respiratory distress syndrome (RDS) score from 4 to 7, resuscitation measures and intubation were performed at the neonatal intensive care unit (NICU). On day 3 after birth, a PICC line was inserted for parenteral therapy. A chest X-ray confirmed that the tip of the PICC line was in the appropriate position. Mechanical ventilation was discontinued 72 h post-NICU admission because of the improved respiratory condition. On the day 10 post-NICU admission, he suddenly developed hypotonia, apnea, hypoxia, hypotension, and bradycardia. Resuscitation and ventilation support were immediately started, and inotropic drugs were also given. Emergency echocardiography showed a severe pericardial effusion with tamponade. The PICC line was removed, and urgent pericardiocentesis was carried out. The respiratory situation gradually improved, the O(2) saturation increased to 95%, and vital signs remained stable. CONCLUSIONS: Dramatic improvement of the neonate's clinical responses after pericardial drainage and PICC removal were suggestive of PICC displacement, pericardial perforation, and cardiac tamponade. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13256-022-03506-4. BioMed Central 2022-07-28 /pmc/articles/PMC9335958/ /pubmed/35902974 http://dx.doi.org/10.1186/s13256-022-03506-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Zarkesh, Mohammad Reza Haghjoo, Mokaram Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
title | Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
title_full | Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
title_fullStr | Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
title_full_unstemmed | Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
title_short | Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
title_sort | neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335958/ https://www.ncbi.nlm.nih.gov/pubmed/35902974 http://dx.doi.org/10.1186/s13256-022-03506-4 |
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