{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:23:24Z","timestamp":1787019804168,"version":"build-2736575974"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cases Journal"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pericardial effusion and cardiac tamponade are rare but life-threatening complications of percutaneosuly inserted central line (PICL) use in extremely low birth weight (ELBW) neonates, with an incidence reported between 0.07% and 2% of PICLs placement. Timely diagnosis and pericardiocentesis has been proven to be life-saving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>The patient was a 620 g birth weight neonate who presented with sudden cardiac instability 18 days after the insertion of a PICL and in spite of a presumed satisfactory position of the catheter tip.<\/jats:p>\n                    <jats:p>The transthoracic echocardiography demonstrated severe pericardial effusion with evidence of cardiac tamponade.<\/jats:p>\n                    <jats:p>Successful urgent subxiphoid pericardiocentesis was performed; totally 2 ml of whitish fluid was collected, which resulted consistent to the composition of the hyperosmolar TPN solution infused.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cardiac tamponade should be considered in any newborn with a peripherally inserted central catheter who presents with cardiorespiratory instability (bradycardia, cyanosis and metabolic acidosis), even when lines are believed to be placed correctly.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/1757-1626-3-15","type":"journal-article","created":{"date-parts":[[2010,1,12]],"date-time":"2010-01-12T02:16:05Z","timestamp":1263262565000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Cardiac tamponade and successful pericardiocentesis in an extremely low birth weight neonate with percutaneously inserted central venous line: a case report"],"prefix":"10.1186","volume":"3","author":[{"given":"Alfredo","family":"Pizzuti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Parodi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Abbondi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Frigerio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2010,1,11]]},"reference":[{"key":"1501_CR1","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1542\/peds.110.1.137","volume":"110","author":"TT Nowlen","year":"2002","unstructured":"Nowlen TT, Rosenthal GL, Johnson GL, Tom DJ, Vargo TA: Pericardial effusion and tamponade in infants with central catheters. Pediatrics. 2002, 110: 137-142. 10.1542\/peds.110.1.137.","journal-title":"Pediatrics"},{"key":"1501_CR2","doi-asserted-by":"publisher","first-page":"F292","DOI":"10.1136\/fn.88.4.F292","volume":"88","author":"K Beardsall","year":"2003","unstructured":"Beardsall K, White DK, Pinto EM, Kelsall AW: Pericardial effusion and cardiac tamponade as complications of neonatal long lines: are they really a problem?. Arch Dis Child Fetal Neonatal Ed. 2003, 88: F292-295. 10.1136\/fn.88.4.F292.","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"1501_CR3","doi-asserted-by":"publisher","first-page":"F260","DOI":"10.1136\/fn.88.4.F260","volume":"88","author":"G Menon","year":"2003","unstructured":"Menon G: Neonatal long lines. 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