Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2015.04.005
Brazilian Journal of Anesthesiology
Clinical Information

Cardiac tamponade: a rare complication of central venous catheter – a clinical case report

Tamponamento cardíaco: uma complicação rara da cateterização venosa central – relato de um caso clínico

Ana Catarina Azevedo; Isabel Flor de Lima; Vânia Brito; Maria João Centeno; Antero Fernandes

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Abstract

Abstract The extensive use of central venous catheters (CVC) in a hospital environment leads to increased iatrogenic complications, as more catheters are used enclosed and its maintenance is prolonged. Several complications are known to be related to central venous catheter, of which the uncommon cardiac tamponade (CT), hardly recognized and associated with high mortality. We present a clinical case, with favorable outcome, of a patient who developed a CT 17 days after CVC placement, and try to reflect on the measures that can be taken to reduce its incidence, as well as the therapeutic approaches to practice in the presence of a suspected CT.

Keywords

Cardiac tamponade, Central venous catheter, Iatrogenesis

Resumo

Resumo O vasto uso dos cateteres venosos centrais (CVC) em meio hospitalar incita a um aumento da iatrogenia, uma vez que são colocados mais cateteres e a sua manutenção é mais prolongada. São conhecidas as complicações relacionadas com a cateterização venosa central, uma das quais o tamponamento cardíaco (TC), raro, dificilmente reconhecido e associado a grande mortalidade. Os autores apresentam um caso clínico, com desfecho favorável, de uma doente que desenvolveu um TC 17 dias após a colocação de um CVC e procuram refletir sobre as medidas que podem ser adotadas para reduzir a sua incidência, bem como as atitudes terapêuticas na suspeita de TC.

Palavras-chave

Tamponamento cardíaco, Cateter venoso central, Iatrogenia

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