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 斯高帕斯(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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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