Abstract
This article reports the case of an adverse event of cardiac tamponade associated with central catheter peripheral insertion in a premature newborn. The approach was pericardial puncture, which reversed the cardiorespiratory arrest. The newborn showed good clinical progress and was discharged from hospital with no complications associated with the event.
Highlights
Inserted central catheters (PICC) are routinely inserted in Neonatal Intensive Care Units (NICU)
The tip of the catheter should be located in the inferior third of the superior vena cava, confirmed by radiography before beginning intravenous infusions . [1,2,3] Dislocation or inadequate positioning of the catheter tip may cause perforation of structures and pericardial infusion
This study reports the case of cardiac tamponade associated with Peripherally inserted central catheters (PICC) in a premature newborn
Summary
Inserted central catheters (PICC) are routinely inserted in Neonatal Intensive Care Units (NICU). The tip of the catheter should be located in the inferior third of the superior vena cava, confirmed by radiography before beginning intravenous infusions . [1,2,3] Dislocation or inadequate positioning of the catheter tip may cause perforation of structures and pericardial infusion. This study reports the case of cardiac tamponade associated with PICC in a premature newborn. On the 9th day of life, the newborn presented with episodes of bradycardia, drop in saturation, cyanosis and dyspnea and continuous positive airway pressure (CPAP) was installed. The tip of the catheter was repositioned in the superior vena cava and confirmed by radiography. The echocardiogram performed two and four days after the event confirmed the absence of pericardial effusion. The newborn was discharged on the 31st day of life
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