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Cardiac Tamponade in a Newborn: A Complication of Hyperalimentation
Author(s) -
Sullivan Cornelius A.,
Konefal Stanley H.
Publication year - 1987
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607187011003319
Subject(s) - medicine , pericardiocentesis , cardiac tamponade , complication , tamponade , silastic , surgery , catheter , central venous catheter , perforation , intracardiac injection , anesthesia , materials science , punching , metallurgy
Perforation of the heart by central venous catheters is an uncommon but life‐threatening complication in the neonatal age group. Prevention requires an open insertion technique, the use of soft Silastic catheters, and the maintenance of the catheter tip above the right atrium. Rapid clinical deterioration with signs of tamponade suggests the diagnosis. Catheter withdrawal, early pericardiocentesis, and pericardiotomy with myocardial repair in selected cases contribute to survival. ( Journal of Parenteral and Enteral Nutrition 11: 319–321,1987)