RESUMEN
Pericardial effusion (PCE) and tamponade as a complication of central venous catheters (CVCs) continues to occur in the neonatal population. It is imperative that clinicians managing neonates with CVCs practice vigilance regarding proper catheter tip location. Furthermore, it is of equal importance that clinicians have a high index of suspicion regarding the catheter tip location any time a neonate with a CVC has a clinical deterioration. It is clear that the ultimate outcome of PCE depends on rapid identifi cation and a quick response when pericardial tamponade occurs. PCE can occur any time during the duration of the catheter dwell time, and education of staff caring for neonates will assist in prevention and rapid treatment.
Asunto(s)
Catéteres Venosos Centrales/efectos adversos , Retardo del Crecimiento Fetal/enfermería , Migración de Cuerpo Extraño/enfermería , Unidades de Cuidado Intensivo Neonatal , Nutrición Parenteral Total/enfermería , Derrame Pericárdico/enfermería , Femenino , Migración de Cuerpo Extraño/diagnóstico , Migración de Cuerpo Extraño/etiología , Humanos , Recién Nacido , Masculino , Derrame Pericárdico/diagnóstico , Derrame Pericárdico/etiología , Pericardiocentesis/enfermería , Embarazo , Adulto JovenRESUMEN
Relata-se caso de derrame pericárdico e pleural acompanhado de comprometimento hemodinâmico cuja etiologia foi dada, por diagnóstico de exclusão, ao hipotireoidismo secundário à radioablação por iodo, realizada dois meses antes do quadro clínico. Otratamento usado foi pericardiocentese com janela pericárdica e terapia de reposição hormonal com levotiroxina.
Case study of pericardial and pleural effusion accompanied by hemodynamic compromise whose etiology was attributed, through an exclusionary diagnosis, to hypothyroidism secondary to radioiodine ablation two months before the clinical condition. The treatment consisted of pericardiocentesis with pericardial window and hormone replacement therapy with levothyroxine.