• Indian J Pediatr · Jul 2001

    Case Reports

    Survival after an acute pericardial tamponade as a result of percutaneously inserted central venous catheter in a preterm neonate.

    • N S Kabra and M R Kluckow.
    • Dept. of Neonatology, and University of Sydney Royal North Shore Hospital, St Leonards, NSW 2065, Australia. nskabra@hotmail.com
    • Indian J Pediatr. 2001 Jul 1; 68 (7): 677-80.

    AbstractPercutaneously inserted central venous catheters (PICC) are used in premature infants to deliver intravenous fluids, total parenteral nutrition (TPN) and medications. This article reports a case in which the baby developed pericardial tamponade within 3 hours of starting TPN through a PICC. This was successfully treated with percutaneous subxiphoid pericardiocentesis. Pericardial tamponade should be suspected in any infant with a PICC line in place, and who suddenly develops shock like symptoms, non-attributable to usual causes.

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