{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:06Z","timestamp":1756321806552,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,29]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Peripherally inserted central catheter (PICC) insertion is a routine procedure in the neonatal intensive care unit required for prolonged intravenous fluid, nutrition and medication support. Neonatal cardiac tamponade is a serious and rare complication of PICC line insertion. Early detection by point of care ultrasound (POCUS) and management by pericardiocentesis improves the chances of survival. Regular simulation-based training sessions on a mannequin, along with knowledge of POCUS, can assist neonatologists and paediatricians for a quick and appropriate response in this emergency condition.<\/jats:p>","DOI":"10.1136\/bcr-2023-256151","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T07:55:22Z","timestamp":1708156522000},"page":"e256151","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Usefulness of skills in point of care ultrasound and simulation-based training as essential competencies in acute management of neonatal cardiac tamponade"],"prefix":"10.1136","volume":"17","author":[{"given":"Ankit","family":"Jain","sequence":"first","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9413-4696","authenticated-orcid":false,"given":"Saikat","family":"Patra","sequence":"additional","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chinmay","family":"Chetan","sequence":"additional","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girish","family":"Gupta","sequence":"additional","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,17]]},"reference":[{"key":"2025082711365524000_17.2.e256151.1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.pedneo.2019.04.009","article-title":"Neonatal percutaneous central venous catheters: equations for the inserted length and locations of the insertion sites","volume":"60","author":"Chiang","year":"2019","journal-title":"Pediatr Neonatol"},{"key":"2025082711365524000_17.2.e256151.2","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-022-03506-4","article-title":"Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report","volume":"16","author":"Zarkesh","year":"2022","journal-title":"J Med Case Rep"},{"key":"2025082711365524000_17.2.e256151.3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1757-1626-3-15","article-title":"Cardiac tamponade and successful pericardiocentesis in an extremely low birth weight neonate with percutaneously inserted central venous line: a case report","volume":"3","author":"Pizzuti","year":"2010","journal-title":"Cases J"},{"key":"2025082711365524000_17.2.e256151.4","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000032050","article-title":"The incidence and mortality rate of catheter-related neonatal pericardial effusion: a meta-analysis","volume":"101","author":"Wang","year":"2022","journal-title":"Medicine"},{"key":"2025082711365524000_17.2.e256151.5","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2020.00235","article-title":"Pericardial effusion\/cardiac tamponade induced by peripherally inserted central catheters in very low birth weight infants: a case report and literature review","volume":"8","author":"Hou","year":"2020","journal-title":"Front Pediatr"},{"key":"2025082711365524000_17.2.e256151.6","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e31827e1d01"},{"key":"2025082711365524000_17.2.e256151.7","doi-asserted-by":"crossref","first-page":"411","DOI":"10.3233\/NPM-200684","article-title":"Peripherally inserted central cathether migration in neonates: incidence, timing and risk factors","volume":"14","author":"Acun","year":"2021","journal-title":"J Neonatal Perinatal Med"},{"key":"2025082711365524000_17.2.e256151.8","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1038\/s41372-019-0575-7","article-title":"Risk factors for peripherally inserted central catheter complications in neonates","volume":"40","author":"Pet","year":"2020","journal-title":"J Perinatol"},{"key":"2025082711365524000_17.2.e256151.9","first-page":"566","article-title":"Cardiac tamponade from peripherally-inserted central venous catheters in neonates: three case reports","volume":"76","author":"Khoo","year":"2021","journal-title":"Med J Malaysia"},{"key":"2025082711365524000_17.2.e256151.10","unstructured":"British Association of Perinatal Medicine . Use of central venous catheters in neonates: a framework for practice. n.d. Available: https:\/\/www.bapm.org\/resources\/10-use-of-central-venous-catheters-in-neonates-revised-2018"},{"key":"2025082711365524000_17.2.e256151.11","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1177\/0148607116644714","article-title":"Percutaneously inserted central catheter-related pleural effusion in a level III neonatal intensive care unit: a 5-year review (2008-2012)","volume":"41","author":"Bashir","year":"2017","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2025082711365524000_17.2.e256151.12","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1080\/15513815.2020.1716897","article-title":"Percutaneous route of life: chylothorax or total parenteral nutrition-related bilateral pleural effusion in a neonate","volume":"40","author":"Alhatem","year":"2021","journal-title":"Fetal Pediatr Pathol"},{"key":"2025082711365524000_17.2.e256151.13","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s00247-017-3983-x","article-title":"Perforations associated with peripherally inserted central catheters in a neonatal population","volume":"48","author":"Sertic","year":"2018","journal-title":"Pediatr Radiol"},{"key":"2025082711365524000_17.2.e256151.14","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.1055\/s-0040-1720957","article-title":"Parenteral nutrition ascites: calamity from an umbilical vein cannula","volume":"10","author":"Anand","year":"2020","journal-title":"Journal of Child Science"},{"key":"2025082711365524000_17.2.e256151.15","doi-asserted-by":"crossref","first-page":"4551","DOI":"10.19102\/icrm.2021.120603","article-title":"Initial experience with a novel pericardiocentesis training simulator incorporating a three-dimensional printed cardiac model","volume":"12","author":"Tsai","year":"2021","journal-title":"J Innov Card Rhythm Manag"},{"key":"2025082711365524000_17.2.e256151.16","first-page":"1600","article-title":"High-fidelity model to simulate ultrasound-guided pericardiocentesis for cardiology resident training","volume":"35","author":"Belliveau","year":"2019","journal-title":"Can J Cardiol"},{"key":"2025082711365524000_17.2.e256151.17","doi-asserted-by":"crossref","DOI":"10.15766\/mep_2374-8265.10758","article-title":"Pediatric emergency medicine simulation curriculum: cardiac Tamponade","volume":"14","author":"Augenstein","year":"2018","journal-title":"MedEdPORTAL"},{"key":"2025082711365524000_17.2.e256151.18","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.paed.2022.07.005","article-title":"Use of echocardiography in the neonatal intensive care unit","volume":"32","author":"Singh","year":"2022","journal-title":"Paediatr Child Health"},{"key":"2025082711365524000_17.2.e256151.19","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s00431-018-3269-9","article-title":"The superiority of point of care ultrasound in localizing central venous line tip position over time","volume":"178","author":"Zaghloul","year":"2019","journal-title":"Eur J Pediatr"},{"key":"2025082711365524000_17.2.e256151.20","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1038\/s41372-018-0249-x","article-title":"Does ultrasound guidance for peripherally inserted central catheter (PICC) insertion reduce the incidence of tip malposition? A randomized trial","volume":"39","author":"Oleti","year":"2019","journal-title":"J Perinatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-256151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:37:04Z","timestamp":1756319824000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-256151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":20,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2,17]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/bcr-2023-256151"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-256151","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}