Central venous catheterization and fatal cardiac tamponade.
Cardiac tamponade is a poorly recognized complication of central venous catheterization associated with a high mortality. We present a case of fatal cardiac tamponade after intra- pericardial infusion of total parenteral nutrition in a patient who had two central venous catheters. We suggest that catheter tip position should always be confirmed before use of a catheter. Tamponade should be suspected in a patient who deteriorates when a central venous catheter is used and resuscitation via the catheter should be avoided.
Booth
S A
SA
Department of Anaesthesia, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK.
Norton
B
B
Mulvey
D A
DA
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010289:Parenteral Nutrition, Total / Q000009:adverse effects