Cardiac tamponade in an infant. A rare complication of central venous catheterisation

Y. G. Cherng, Y. J. Cheng, T. G. Chen, C. M. Wang, C. C. Liu

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

A 2994 g infant suffered cardiac tamponade from an infusion of total parenteral nutrition through an indwelling central venous catheter. The infant survived as a result of early diagnosis and aggressive therapeutic intervention. Cardiac tamponade secondary to central venous catheterisation is rare, but potentially lethal. Possible mechanisms are direct puncture by the catheter tip, or osmotic injury from the use of hypertonic solutions. To avoid this complication, the catheter tip should be prevented from entering the right atrium and its position should be checked periodically by chest X ray. Cardiac tamponade should be considered in any patient with a central venous catheter whose clinical condition deteriorates suddenly. Diagnostic or therapeutic pericardiocentesis should be employed as the first measure and time should not be wasted on other diagnostic procedures.

Original languageEnglish
Pages (from-to)1052-1054
Number of pages3
JournalAnaesthesia
Volume49
Issue number12
DOIs
Publication statusPublished - 1994
Externally publishedYes

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Keywords

  • Cardiac tamponade
  • Complications
  • Heart perforation
  • Jugular vein

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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