ArticleFrontiers in cardiovascular medicine2023
Tamponade and massive pleural effusions secondary to peripherally inserted central catheter in neonates-A complication to be aware of.
Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Inter-center variation in non-elective removal of central catheters amongst level 4 NICUs.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- The applications, complications, and management of neonatal peripherally inserted central catheters (n-PICCs): a narrative review.Frontiers in pediatrics · 2026Review
- Development of site-specific predictive equations for epicutaneo-caval catheter insertion depth by body weight in neonates.Translational pediatrics · 2025Article
- Utilizing POCUS for the Identification and Management of PICC Line-Associated Cardiac Tamponade.POCUS journal · 2025Article
- Perils of the PICC: Peripherally Inserted Central Catheter-Associated Complications and Recommendations for Prevention in Clinical Practice-A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- First Reported Case of Iatrogenic Cardiac Tamponade Following Chest Drain Insertion for Tension Pneumothorax in a Premature Newborn.Case reports in pediatrics · 2025Article
- [A clinical study on the optimal placement depth for peripherally inserted central catheter through the great saphenous vein in preterm infants].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024Article
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- The advantage of point-of-care ultrasound in central venous catheterization and related pericardial effusion in infants in the NICU.Frontiers in pediatrics · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Peripherally inserted central catheters (PICC) are frequently used in neonatal intensive care units (NICU) to assist premature and critically ill neonates. Massive pleural effusions, pericardial effusions, and cardiac tamponade secondary to PICC are extremely uncommon but have potentially fatal consequences. Objective: This study investigates the incidence of tamponade, large pleural, and pericardial effusions secondary to peripherally inserted central catheters in a neonatal intensive care unit at a tertiary care center over a 10-year period. It explores possible etiologies behind such complications and suggests preventative measures. Study design: Retrospective analysis of neonates who were admitted to the NICU at the AUBMC between January 2010 and January 2020, and who required insertion of PICC. Neonates who developed tamponade, large pleural, or pericardial effusions secondary to PICC insertion were investigated. Results: Four neonates developed significant life-threatening effusions. Urgent pericardiocentesis and chest tube placement were required in two and one patients, respectively. No fatalities were encountered. Conclusion: The abrupt onset of hemodynamic instability without an obvious cause in any neonate with PICC
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