title: [Cardiac Tamponade after on a guide changing of a central venous catheter for total parenteral nutrition. Could it be avoided?].
abstract: Catheterization of central veins is a routine process, especially in severely-ill patients. It is a technique associated with multiple potential complications, fortunately infrequent, depending on the skill with which it is performed. Cardiac blockade is one of these infrequent complications with a high mortality. We describe a case in which suspicion, early diagnosis, and immediate manipulative treatment allowed a successful recovery of the patient. In addition, the literature is reviewed and possible mechanisms involved in these episodes are discussed.
authors.affiliation: Departamento de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. dieogj@humv.es
authors.forename: C
authors.initials: C
authors.lastname: González Fernández
authors.forename: J C
authors.initials: JC
authors.lastname: Rodríguez Borregán
authors.forename: R
authors.initials: R
authors.lastname: Fernández Rico
authors.forename: C
authors.initials: C
authors.lastname: Valero Díaz de Lamadrid
authors.forename: J
authors.initials: J
authors.lastname: Ordóñez González
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods; D004452:Echocardiography; D006801:Humans; D007601:Jugular Veins; D008297:Male; D010288:Parenteral Nutrition; D020519:Pericardiocentesis; D010496:Pericardium / Q000000981:diagnostic imaging / Q000601:surgery