Thoracentesis in pericardial and pleural effusion caused by central venous catheterization: a less invasive neonatal approach.
An 840 g infant developed a rapid onset of shock-like symptoms. Pericardial and pleural effusions from an indwelling central catheter were diagnosed via echocardiography. A thoracentesis was promptly performed with immediate clinical improvement. The fluid withdrawn from the pleural space was analysed as hyperalimentation. The infant survived because of early diagnosis and aggressive therapeutic intervention. A pericardial effusion should be drained if there is cardiovascular compromise and because pericardiocentesis represents a high risk technique, attempts should be made to rectify the extravasation via thoracentesis.
Pignotti
Maria Serenella
MS
Department of Neonatology and Neonatal Intensive Care, Anna Meyer, Children's Hospital, University of Florence, Florence, Italy. m.pignotti@meyer.it
Messeri
Andrea
A
Donzelli
Gianpaolo
G
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019060:Minimally Invasive Surgical Procedures; D019152:Paracentesis; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D010490:Pericardial Effusion / Q000628:therapy*; D010996:Pleural Effusion / Q000628:therapy*