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Boletín médico del Hospital Infantil de México

Print version ISSN 1665-1146

Abstract

CACERES-PAPADAKIS, Gaspar Ulises; UGALDE-FERNANDEZ, J. Horacio  and  GAMBOA-CAZARES, Isidro Artemio. Cardiac tamponade secondary to placement of central venous catheter in newborn. Bol. Med. Hosp. Infant. Mex. [online]. 2006, vol.63, n.3, pp.195-201. ISSN 1665-1146.

Introduction. Central venous catheters are critical in the management of the sick neonate. Cardiac tamponade is an associated complication with the inadequate placement of central venous catheter, usually when the tip of the catheter is in the right atria. Case reports. We present the cases of 5 newborns admitted to the NICU, with recent placement of central venous catheter and who results in cardiac tamponade with resolution after pericardic punction was performed, except in one patient. Conclusions. Cardiac tamponade should be suspected when a newborn presents sudden hemodynamic dysfunction after placement of central venous catheter and patients should receive treatment even if echocardiogram is not available

Keywords : Cardiac tamponade; pericardic punction; central venous catheter; neonate.

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