title: Cardiac tamponade caused by central venous catheter in two newborns.
abstract: Cardiac tamponade secondary to the use of central venous catheter is a rare complication; however, it is potentially reversible when it is caught in time. We report two cases of cardiac tamponade that was diagnosed using a transthoracic echocardiography, followed by urgent pericardiocentesis and surgical pericardial drainage as a complication from umbilical venous catheterization. In one case, the tip of the catheter was properly placed, and in the other case, it was not. In both cases, a hyperosmolar solution was being injected. Although it may be an uncommon situation, it should be always considered as a possibility in a newborn who develops cardiogenic shock without an apparent cause.
authors.affiliation: leonardo.canale@gmail.com
authors.forename: Andrey José
authors.initials: AJ
authors.lastname: Monteiro
authors.forename: Leonardo Secchin
authors.initials: LS
authors.lastname: Canale
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Barbosa
authors.forename: Milton
authors.initials: M
authors.lastname: Méier
mesh_terms: D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D019544:Equipment Failure Analysis; D006801:Humans; D007231:Infant, Newborn; D014463:Ultrasonography; D014471:Umbilical Veins