Document Detail

Cardiac tamponade in a newborn because of umbilical venous catheterization: is correct position safe?
MedLine Citation:
PMID:  15500497     Owner:  NLM     Status:  MEDLINE    
Cardiac tamponade is a rare but life-threatening complication of umbilical venous catheterization in the newborn. Most complications from central venous catheters are related to incorrect position of the catheter and it is emphasized to confirm the position of the catheter tip after placement in order to avoid possible complications. We present an unusual complication of cardiac tamponade because of umbilical venous catheterization in a term newborn which is extremely rare with correct location of the catheter tip at the junction of inferior vena cava and right atrium. We suggest that correct position never guarantees uneventful catheterization in the newborn. In any infant with a central venous catheter in situ who deteriorates clinically, pericardial effusion/cardiac tamponade must be considered and appropriate action taken.
E Esra Onal; Arda Saygili; Esin Koç; Canan Türkyilmaz; Nurullah Okumus; Yildiz Atalay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  14     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-25     Completed Date:  2005-02-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  953-6     Citation Subset:  IM    
Division of Neonatology, Gazi University Medical School, Ankara, Turkey.
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MeSH Terms
Cardiac Tamponade / etiology*
Cardiomegaly / etiology,  surgery
Catheterization, Peripheral / adverse effects*,  instrumentation,  methods*
Cyanosis / etiology,  surgery
Electrocardiography / methods
Extravasation of Diagnostic and Therapeutic Materials / etiology,  physiopathology
Glucose / administration & dosage,  therapeutic use
Heart Atria / radiography
Hypoglycemia / drug therapy
Infant, Newborn
Pericardial Effusion / etiology,  surgery
Pericardiocentesis / methods
Sweetening Agents / administration & dosage,  therapeutic use
Umbilical Veins*
Vena Cava, Inferior / injuries*,  radiography
Reg. No./Substance:
0/Sweetening Agents; 50-99-7/Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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