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Title: Thoracentesis in pericardial and pleural effusion caused by central venous catheterization: a less invasive neonatal approach. Author: Pignotti MS, Messeri A, Donzelli G. Journal: Paediatr Anaesth; 2004 Apr; 14(4):349-51. PubMed ID: 15078382. Abstract: An 840 g infant developed a rapid onset of shock-like symptoms. Pericardial and pleural effusions from an indwelling central catheter were diagnosed via echocardiography. A thoracentesis was promptly performed with immediate clinical improvement. The fluid withdrawn from the pleural space was analysed as hyperalimentation. The infant survived because of early diagnosis and aggressive therapeutic intervention. A pericardial effusion should be drained if there is cardiovascular compromise and because pericardiocentesis represents a high risk technique, attempts should be made to rectify the extravasation via thoracentesis.[Abstract] [Full Text] [Related] [New Search]