Neonatal cardiac tamponade following PICC insertion
Abstract:
Peripherally inserted central catheter (PICC) insertion is a routine procedure in the neonatal intensive care unit required for prolonged intravenous fluid, nutrition and medication support. Neonatal cardiac tamponade is a serious and rare complication of PICC line insertion. Early detection by point of care ultrasound (POCUS) and management by pericardiocentesis improves the chances of survival. Regular simulation-based training sessions on a mannequin, along with knowledge of POCUS, can assist neonatologists and paediatricians for a quick and appropriate response in this emergency condition.
Reference:
Jain A, Patra S, Chetan C, Gupta G. Usefulness of skills in point of care ultrasound and simulation-based training as essential competencies in acute management of neonatal cardiac tamponade. BMJ Case Rep. 2024 Feb 17;17(2):e256151. doi: 10.1136/bcr-2023-256151. PMID: 38367993; PMCID: PMC10875498.