Key result
Among 24 neonates with peripherally inserted central catheter-induced pericardial effusion or cardiac tamponade, overall mortality was 37.5%, but mortality was only 6.25% in those who underwent pericardiocentesis.
Why the study?
Pericardial effusion/cardiac tamponade is a rare but life-threatening complication of PICCs with high mortality, prompting efforts to improve understanding among pediatricians.
Case Report (n=24)
In VLBW infants with PICCs, unexplained cardiorespiratory instability should raise suspicion for life-threatening pericardial effusion/cardiac tamponade requiring early diagnosis and pericardiocentesis.
Raises suspicion for PICC tamponade in unstable VLBW infants; leaves open optimal prevention strategies pending larger studies.
Background: Although pericardial effusion/cardiac tamponade (PCE/CT) is a rare complication of peripherally inserted central catheters (PICCs), with an incidence of 0.07–2%, it is associated with high mortality and is often life threatening. We sought to improve understanding of PICC-induced PCE/CT among pediatricians. Case presentation: The clinical data of PICC-associated PCE/CT in a very low birth weight (VLBW) infant were summarized, and the relevant literature was also reviewed. Conclusions: In VLBW infants with a PICC, if unstable respiratory circulatory system states are observed that cannot be explained, such as tachycardia, bradycardia, apnea, hypotension, and metabolic acidosis, PICC-induced PCE/CT should be considered. Early diagnosis and pericardial puncture are key to saving infants’ lives.
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Hou et al. (2020) conducted a case report in Pericardial effusion and cardiac tamponade (n=24). Peripherally inserted central catheters (PICC) was evaluated on Mortality. Among 24 neonates with peripherally inserted central catheter-induced pericardial effusion or cardiac tamponade, overall mortality was 37.5%, but mortality was only 6.25% in those who underwent pericardiocentesis.
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