Cui Y, Liu K, Luan L, Liang P. Delayed cardiac tamponade diagnosed by point-of-care ultrasound in a neonate after peripherally inserted central catheter placement: A case report. World J Clin Cases 2021; 9(3): 602-606 [PMID: 33553397 DOI: 10.12998/wjcc.v9.i3.602]
Corresponding Author of This Article
Peng Liang, MD, Associate Professor, Doctor, Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan Province, China. 39485572@qq.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2021; 9(3): 602-606 Published online Jan 26, 2021. doi: 10.12998/wjcc.v9.i3.602
Delayed cardiac tamponade diagnosed by point-of-care ultrasound in a neonate after peripherally inserted central catheter placement: A case report
Yu Cui, Kai Liu, Liming Luan, Peng Liang
Yu Cui, Kai Liu, Department of Anesthesiology, Chengdu Women’s and Children’s Central Hospital, Chengdu 610091, Sichuan Province, China
Liming Luan, Department of Anesthesiology, Vanderbilt Medical Center, Nashville, TN 37232-5614, United States
Peng Liang, Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, Chengdu 610041, Sichuan Province, China
Author contributions: Cui Y and Liu K contributed equally to this work; Cui Y and Liu K gathered medical records of the patient; Cui Y, Liu K, and Liang P wrote the paper; Luan L helped revise the language.
Informed consent statement: Written informed consent was obtained from the patient or his/her guardians prior to the study.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Peng Liang, MD, Associate Professor, Doctor, Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan Province, China. 39485572@qq.com
Received: November 11, 2020 Peer-review started: November 11, 2020 First decision: November 24, 2020 Revised: November 26, 2020 Accepted: December 6, 2020 Article in press: December 6, 2020 Published online: January 26, 2021
Abstract
BACKGROUND
Peripherally inserted central catheters (PICCs) have been increasingly applied worldwide owing to many advantages. Even with these advantages, the related complications should not be ignored, especially in neonates. The available evidence about PICC-related thrombosis was manifold, but the cardiac tamponade, an emergency and life-threatening complication, has been rarely reported. Early recognized cardiac tamponade by ultrasound may reduce mortality.
CASE SUMMARY
A neonate weighting 2.8 kg was born at 40 wk of gestation. He was admitted to the Surgery Intensive Care Unit due to suspected congenital megacolon. A PICC line was inserted via the left antecubital fossa for the administration of total parenteral nutrition. Three days later, the patient was still on total parenteral nutrition. Cardiac tamponade caused by PICC was found on ultrasound. The patient recovered spontaneously after an emergency pericardiocentesis.
CONCLUSION
Proficiency in the use of point-of-care ultrasound may save the life of patients, since it enables clinicians to treat patients faster, more accurately, and in a non-invasive way at the point of care.
Core Tip: Physicians should be vigilant to delayed cardiac tamponade even if the patient had been using peripherally inserted central catheters for several days. Proficiency in the use of point-of-care ultrasound may save the life of the patients in intensive care unit, emergency department, as well as operation rooms, since it enables clinicians to treat patients faster, more accurately, and in a non-invasive way at the point of care.
