Case Report
Volume 11 Issue 6 - 2022
Bedside Echocardiography by the Neonatologist for an Early Diagnosis of Pericardial Tamponade and for Performing Life Saving Pericardiocentesis
Binoy Vadakke Nellissery*, Sandeep Kuchi, Sai Srinivas Bhagavatula and Babu Balachandar
Aster Hospital, Al Qusais, Dubai, UAE
*Corresponding Author: Binoy Vadakke Nellissery, Aster Hospital, Al Qusais, Dubai, UAE.
Received: April 21, 2022; Published: May 27, 2022




Abstract

This article will emphasis on the importance of Bedside point of care Echocardiography which can be life saving to any at risk neonates. The hands on experience of the Neonatologist in echocardiography to understand life threatening conditions like pericardial tamponade should be an essential part of neonatal training [1-3].

Umbilical venous catheter is the most common type of central venous catheter placement in all Neonatal ICU. Complications related to such central lines are numerous but the two main life threatening complications are pericardial effusion and pericardial tamponade. Early diagnosis and early intervention is lifesaving. Routine functional echocardiography for any neonate with central lines having fluctuating Heart rate and Blood pressure at the earliest by the neonatologist is diagnostic as well as therapeutic for such rare but life-threatening complications.

We are presenting a 27 weeks premature baby who developed sudden onset in hemodynamic instability which turned out to be due to Umbilical venous catheter related pericardial tamponade. As the cause for sudden deterioration in the clinical status was not clear an urgent bedside echocardiography was performed which turned out to be crucial in clinching the diagnosis and deciding on immediate pericardiocentesis.

Mortality rate in Neonates are very high with pericardial tamponade. Although fatal in neonates however it is potentially reversible when diagnosed and intervened on time.

 

Keywords: Echocardiography; Neonatologist; Pericardial Tamponade; Pericardiocentesis

References

  1. Poon WB and Wong KY. “Neonatologist-performed point-of-care functional echocardiography in the neonatal intensive care unit”. Singapore Medical Journal 5 (2017): 230-233.
  2. Groves AM., et al. “Introduction to neonatologist-performed echocardiography”. Pediatric Research1 (2018): 1-12.
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  9. Abiramalatha T., et al. “Advantages of being diligent: lessons learnt from umbilical venous catheterisation in neonates”. BMJ Case Reports (2016): bcr2015214073.
  10. Nadroo AM., et al. “Death as a complication of peripherally inserted central catheters in neonates”. Journal of Pediatrics 4 (2001): 599-601.
  11. Nadroo AM., et al. “Changes in Upper Extremity Position Cause Migration of Peripherally Inserted Central Catheters in Neonates”. Pediatrics 1 (2002): 131-136.
  12. Department of Health (UK). “Review of the deaths of four babies due to cardiac tamponade associated with the presence of central venous catheter” (2019).
  13. Carmody K., et al. “Handbook of Critical Care and Emergency Ultrasound”. McGraw Hill (2011).
  14. ALiEM: Ultrasound-Guided Pericardiocentesis.
Citation: Binoy Vadakke Nellissery., et al. “Bedside Echocardiography by the Neonatologist for an Early Diagnosis of Pericardial Tamponade and for Performing Life Saving Pericardiocentesis”. EC Paediatrics 11.6 (2022): 35-39.

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