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  • Title: Survival after an acute pericardial tamponade as a result of percutaneously inserted central venous catheter in a preterm neonate.
    Author: Kabra NS, Kluckow MR.
    Journal: Indian J Pediatr; 2001 Jul; 68(7):677-80. PubMed ID: 11519294.
    Abstract:
    Percutaneously inserted central venous catheters (PICC) are used in premature infants to deliver intravenous fluids, total parenteral nutrition (TPN) and medications. This article reports a case in which the baby developed pericardial tamponade within 3 hours of starting TPN through a PICC. This was successfully treated with percutaneous subxiphoid pericardiocentesis. Pericardial tamponade should be suspected in any infant with a PICC line in place, and who suddenly develops shock like symptoms, non-attributable to usual causes.
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