High glucose concentration in pericardial fluid: An indication for iatrogenic cardiac tamponade in a neonate
We present a case of neonatal pericardial tamponade due to umbilical
venous catheterization, a rare, but life threatening complication.
A newborn who developed sudden clinical deterioration at 44th
hour following umbilical venous catheterization, is reported.
Echocardiography showed marked pericardial effusion. Urgent
pericardiocentesis was performed. Analysis of pericardial fluid
revealed high glucose level consistent with the composition of
total parenteral nutrition fluid being infused through the catheter.
Pericardial tamponade should be considered in any infant with
a central venous catheter who suddenly deteriorates and urgent
pericardiocentesis should be attempted.
Keywords: Umbilical venous catheterization, Complication,
Cardiac tamponade, Pericardial effusion
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