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Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of
BACKGROUND: Peripherally inserted central catheters (PICC) are frequently used in neonatal intensive care units (NICU) to assist premature and critically ill neonates. Massive pleural effusions, pericardial effusions, and cardiac tamponade secondary to PICC are extremely uncommon but have potentiall...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981636/ https://www.ncbi.nlm.nih.gov/pubmed/36873398 http://dx.doi.org/10.3389/fcvm.2023.1092814 |
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author | Zareef, Rana Anka, Mariam Hatab, Taha El Rassi, Issam Yunis, Khalid Bitar, Fadi Arabi, Mariam |
author_facet | Zareef, Rana Anka, Mariam Hatab, Taha El Rassi, Issam Yunis, Khalid Bitar, Fadi Arabi, Mariam |
author_sort | Zareef, Rana |
collection | PubMed |
description | BACKGROUND: Peripherally inserted central catheters (PICC) are frequently used in neonatal intensive care units (NICU) to assist premature and critically ill neonates. Massive pleural effusions, pericardial effusions, and cardiac tamponade secondary to PICC are extremely uncommon but have potentially fatal consequences. OBJECTIVE: This study investigates the incidence of tamponade, large pleural, and pericardial effusions secondary to peripherally inserted central catheters in a neonatal intensive care unit at a tertiary care center over a 10-year period. It explores possible etiologies behind such complications and suggests preventative measures. STUDY DESIGN: Retrospective analysis of neonates who were admitted to the NICU at the AUBMC between January 2010 and January 2020, and who required insertion of PICC. Neonates who developed tamponade, large pleural, or pericardial effusions secondary to PICC insertion were investigated. RESULTS: Four neonates developed significant life-threatening effusions. Urgent pericardiocentesis and chest tube placement were required in two and one patients, respectively. No fatalities were encountered. CONCLUSION: The abrupt onset of hemodynamic instability without an obvious cause in any neonate with PICC in situ should raise suspicion of pleural or pericardial effusions. Timely diagnosis through bedside ultrasound, and prompt aggressive intervention are critical. |
format | Online Article Text |
id | pubmed-9981636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99816362023-03-04 Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of Zareef, Rana Anka, Mariam Hatab, Taha El Rassi, Issam Yunis, Khalid Bitar, Fadi Arabi, Mariam Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Peripherally inserted central catheters (PICC) are frequently used in neonatal intensive care units (NICU) to assist premature and critically ill neonates. Massive pleural effusions, pericardial effusions, and cardiac tamponade secondary to PICC are extremely uncommon but have potentially fatal consequences. OBJECTIVE: This study investigates the incidence of tamponade, large pleural, and pericardial effusions secondary to peripherally inserted central catheters in a neonatal intensive care unit at a tertiary care center over a 10-year period. It explores possible etiologies behind such complications and suggests preventative measures. STUDY DESIGN: Retrospective analysis of neonates who were admitted to the NICU at the AUBMC between January 2010 and January 2020, and who required insertion of PICC. Neonates who developed tamponade, large pleural, or pericardial effusions secondary to PICC insertion were investigated. RESULTS: Four neonates developed significant life-threatening effusions. Urgent pericardiocentesis and chest tube placement were required in two and one patients, respectively. No fatalities were encountered. CONCLUSION: The abrupt onset of hemodynamic instability without an obvious cause in any neonate with PICC in situ should raise suspicion of pleural or pericardial effusions. Timely diagnosis through bedside ultrasound, and prompt aggressive intervention are critical. Frontiers Media S.A. 2023-02-17 /pmc/articles/PMC9981636/ /pubmed/36873398 http://dx.doi.org/10.3389/fcvm.2023.1092814 Text en Copyright © 2023 Zareef, Anka, Hatab, El Rassi, Yunis, Bitar and Arabi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Zareef, Rana Anka, Mariam Hatab, Taha El Rassi, Issam Yunis, Khalid Bitar, Fadi Arabi, Mariam Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of |
title | Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of |
title_full | Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of |
title_fullStr | Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of |
title_full_unstemmed | Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of |
title_short | Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of |
title_sort | tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–a complication to be aware of |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981636/ https://www.ncbi.nlm.nih.gov/pubmed/36873398 http://dx.doi.org/10.3389/fcvm.2023.1092814 |
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