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

研究成果: 雜誌貢獻文章

22 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)1052-1054
頁數3
期刊Anaesthesia
49
發行號12
DOIs
出版狀態已發佈 - 1994
對外發佈Yes

指紋

Central Venous Catheterization
Cardiac Tamponade
Central Venous Catheters
Catheters
Pericardiocentesis
Hypertonic Solutions
Indwelling Catheters
Total Parenteral Nutrition
Heart Atria
Punctures
Early Diagnosis
Thorax
X-Rays
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

引用此文

Cardiac tamponade in an infant. A rare complication of central venous catheterisation. / Cherng, Y. G.; Cheng, Y. J.; Chen, T. G.; Wang, C. M.; Liu, C. C.

於: Anaesthesia, 卷 49, 編號 12, 1994, p. 1052-1054.

研究成果: 雜誌貢獻文章

Cherng, Y. G. ; Cheng, Y. J. ; Chen, T. G. ; Wang, C. M. ; Liu, C. C. / Cardiac tamponade in an infant. A rare complication of central venous catheterisation. 於: Anaesthesia. 1994 ; 卷 49, 編號 12. 頁 1052-1054.
@article{c98263aff9d2439fa37300cd76566599,
title = "Cardiac tamponade in an infant. A rare complication of central venous catheterisation",
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.",
keywords = "Cardiac tamponade, Complications, Heart perforation, Jugular vein",
author = "Cherng, {Y. G.} and Cheng, {Y. J.} and Chen, {T. G.} and Wang, {C. M.} and Liu, {C. C.}",
year = "1994",
doi = "10.1111/j.1365-2044.1994.tb04354.x",
language = "English",
volume = "49",
pages = "1052--1054",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
number = "12",

}

TY - JOUR

T1 - Cardiac tamponade in an infant. A rare complication of central venous catheterisation

AU - Cherng, Y. G.

AU - Cheng, Y. J.

AU - Chen, T. G.

AU - Wang, C. M.

AU - Liu, C. C.

PY - 1994

Y1 - 1994

N2 - 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.

AB - 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.

KW - Cardiac tamponade

KW - Complications

KW - Heart perforation

KW - Jugular vein

UR - http://www.scopus.com/inward/record.url?scp=0028603393&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028603393&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2044.1994.tb04354.x

DO - 10.1111/j.1365-2044.1994.tb04354.x

M3 - Article

VL - 49

SP - 1052

EP - 1054

JO - Anaesthesia

JF - Anaesthesia

SN - 0003-2409

IS - 12

ER -