Perkutan Yerleştirilmiş Santral Venöz Kataterlerin Nadir Ve Hayatı Tehdit Eden Bir Komplikasyonu: Kardiyak Tamponad
Öz
Perkutan yerleştirilen santral venöz kateterler premature yenidoğanlara parenteral beslenme sıvıları sağlamak için sıklıkla kullanılmaktadır. Bu çalışma hiperosmolar parenteral beslenmeye bağlı olarak perikardiyal tamponad gelişen iki preterm yenidoğan vakasını sunmaktadır. Perkutan yerleştirilmiş santral venöz kateteri bulunan bir yenidoğanda klinik durum kötüleştiğinde perikardiyal efüzyon tanısı koymak için yüksek klinik şüphe ve hızlı tedavi hayat kurtarıcı olabilir.
Anahtar Kelimeler
Kaynakça
- Nolan ME, Yadav H, Cawcutt KA, Cartin-Ceba R. Complication rates among peripherally inserted central venous catheters and centrally inserted central catheters in the medical intensive care unit. J Crit Care. 2015 Oct 5. Article in press.
- Bearsdsall K, White DK, Pinto EM et al. Pericardial effusion and cardiac tamponade as complications of neonatal long lines: Are they really a problem? Arch Dis Child Fetal Neonatal Ed 2003; 88:292-5.
- Ohki YMaruyama K, Harigaya A, Kohno M, Arakawa H. Complications of peripherally inserted central venous catheter in Japanese neonatal intensive care units. Pediatr Int. 2013 Apr;55(2):185-9.
- Kayashima K. Factors affecting survival in pediatric cardiac tamponade caused by central venous catheters. J Anesth. 2015 Jul 10. Article in press.
- Nowlenn T, Rosenthall GL, Johnson GL. Pericardial effusion and tamponade in infants with central catheters Pediatr 2002;110:137-142.
- Gluszek S, Matykiewicz J. Cardiac tamponade as a complication of catheterization of the subclavian vein – prevention and principles of management. Nutrition. 2015;15(7– ):580–582
- Schicchia R., Di Piazzab M., Bonomo V. A life-threatening complication of parenteral nutrition: how to prevent cardiac tamponade? Ann. Cardiol Angeiol 2013;63(4):265–266
- Darling JC, Newell SJ, Mohamdee O et al. Central venous catheter tip in right atrium: a risk factor for neonatal cardiac tamponade. J Perinatol.2001;21:461-4.
- Venugopal AN1, Koshy RC, Koshy SM. Role of chest X-ray in citing central venous catheter tip: A few case reports with a brief review of the literature. J Anaesthesiol Clin Pharmacol. 2013 Jul;29(3):397-400.
- Aggarwal R, Downe L. Neonatal pericardial tamponade from a silastic central venous catheter. Indian Pediatr 2000; 37:564-66. Figure Legends
- Figure 1: Massive effusion in pericardial space. Figure 2: Aspirated pericardial fluid. Figure 3: Chest X- ray shows cardiomegaly.
A Rare And Life Threatening Complication Of Percutaneously Inserted Central Venous Catheters: Cardiac Tamponade.
Öz
Percutaneously inserted central venous catheters are commonly used to provide parenteral nutrition for premature neonates. This study presents report of two preterm neonates who developed pericardial effusion resulting from osmotic damage of parenteral nutrition. When a neonate with percutaneously inserted central venous catheter clinical status worsens a high index of clinical suspicion for diagnosing pericardial effusion and immediate treatment might be life saving.
Anahtar Kelimeler
Kaynakça
- Nolan ME, Yadav H, Cawcutt KA, Cartin-Ceba R. Complication rates among peripherally inserted central venous catheters and centrally inserted central catheters in the medical intensive care unit. J Crit Care. 2015 Oct 5. Article in press.
- Bearsdsall K, White DK, Pinto EM et al. Pericardial effusion and cardiac tamponade as complications of neonatal long lines: Are they really a problem? Arch Dis Child Fetal Neonatal Ed 2003; 88:292-5.
- Ohki YMaruyama K, Harigaya A, Kohno M, Arakawa H. Complications of peripherally inserted central venous catheter in Japanese neonatal intensive care units. Pediatr Int. 2013 Apr;55(2):185-9.
- Kayashima K. Factors affecting survival in pediatric cardiac tamponade caused by central venous catheters. J Anesth. 2015 Jul 10. Article in press.
- Nowlenn T, Rosenthall GL, Johnson GL. Pericardial effusion and tamponade in infants with central catheters Pediatr 2002;110:137-142.
- Gluszek S, Matykiewicz J. Cardiac tamponade as a complication of catheterization of the subclavian vein – prevention and principles of management. Nutrition. 2015;15(7– ):580–582
- Schicchia R., Di Piazzab M., Bonomo V. A life-threatening complication of parenteral nutrition: how to prevent cardiac tamponade? Ann. Cardiol Angeiol 2013;63(4):265–266
- Darling JC, Newell SJ, Mohamdee O et al. Central venous catheter tip in right atrium: a risk factor for neonatal cardiac tamponade. J Perinatol.2001;21:461-4.
- Venugopal AN1, Koshy RC, Koshy SM. Role of chest X-ray in citing central venous catheter tip: A few case reports with a brief review of the literature. J Anaesthesiol Clin Pharmacol. 2013 Jul;29(3):397-400.
- Aggarwal R, Downe L. Neonatal pericardial tamponade from a silastic central venous catheter. Indian Pediatr 2000; 37:564-66. Figure Legends
- Figure 1: Massive effusion in pericardial space. Figure 2: Aspirated pericardial fluid. Figure 3: Chest X- ray shows cardiomegaly.
Toplam 11 adet kaynakça vardır.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 19 Ekim 2016 |
| Yayımlandığı Sayı | Yıl 2016 Cilt: 6 Sayı: 3 |