Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates–A complication to be aware of

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Taha Hatab¹  Mariam Anka¹  Issam El Rassi²  Khalid Yunis³  Fadi Bitar⁴  Mariam Arabi⁴  Rana Zareef⁴ 

[1] Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon;Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon;Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon;Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon;Division of Neonatology, Department of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon;Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon;Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon;

关键词: tamponade;    pleural effusions;    pericardial effusions;    central catheter;    neonates;   

DOI  :  10.3389/fcvm.2023.1092814

 received in 2022-11-08, accepted in 2023-02-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundPeripherally inserted central catheters (PICC) are frequently used in neonatal intensive care units (NICU) to assist premature and critically ill neonates. Massive pleural effusions, pericardial effusions, and cardiac tamponade secondary to PICC are extremely uncommon but have potentially fatal consequences.ObjectiveThis study investigates the incidence of tamponade, large pleural, and pericardial effusions secondary to peripherally inserted central catheters in a neonatal intensive care unit at a tertiary care center over a 10-year period. It explores possible etiologies behind such complications and suggests preventative measures.Study designRetrospective analysis of neonates who were admitted to the NICU at the AUBMC between January 2010 and January 2020, and who required insertion of PICC. Neonates who developed tamponade, large pleural, or pericardial effusions secondary to PICC insertion were investigated.ResultsFour neonates developed significant life-threatening effusions. Urgent pericardiocentesis and chest tube placement were required in two and one patients, respectively. No fatalities were encountered.ConclusionThe abrupt onset of hemodynamic instability without an obvious cause in any neonate with PICC in situ should raise suspicion of pleural or pericardial effusions. Timely diagnosis through bedside ultrasound, and prompt aggressive intervention are critical.

【 授权许可】

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Copyright © 2023 Zareef, Anka, Hatab, El Rassi, Yunis, Bitar and Arabi.