title: Pericardial Effusion and Cardiac Tamponade Following Percutaneously Inserted Central Line Insertion in an Extremely Low-birth-weight Baby: Case Report and Successful Management.
abstract: Pericardial effusion and cardiac tamponade are rare complications of percutaneously inserted central lines (PICLs), in extremely low-birth-weight babies. This particular complication carries a high degree of mortality, if not suspected and diagnosed. Bedside echocardiography proves not only diagnostic but also can be lifesaving in these conditions. Here, we wish to report such a baby who suddenly deteriorated and showed cardiovascular instability 2 days after the insertion of PICL. Immediate bedside echocardiography helped pick up the effusion which was drained using a subxiphoid percutaneous approach.
authors.affiliation: Department of Neonatology, Nowrosjee Wadia Maternity Hospital, Acharya Donde Marg, Mumbai, Maharashtra, India.
authors.forename: Avinash V
authors.initials: AV
authors.lastname: Desai
authors.affiliation: Department of Neonatology, Nowrosjee Wadia Maternity Hospital, Acharya Donde Marg, Mumbai, Maharashtra, India.
authors.forename: Abnish
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Department of Neonatology, Nowrosjee Wadia Maternity Hospital, Acharya Donde Marg, Mumbai, Maharashtra, India.
authors.forename: Praful
authors.initials: P
authors.lastname: Shanbhag
authors.affiliation: Department of Neonatology, Nowrosjee Wadia Maternity Hospital, Acharya Donde Marg, Mumbai, Maharashtra, India.
authors.forename: Forum
authors.initials: F
authors.lastname: Shah
keywords: Extremely low-birth-weight baby; percutaneously inserted central lines; pericardial effusion; pericardiocentesis