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Correspondence  |   August 2018
Central Venous Lines in Low-birth-weight Newborns: Watch Out
Author Notes
  • Stanford University School of Medicine, Stanford, California. brockutn@stanford.edu
  • (Accepted for publication May 7, 2018.)
    (Accepted for publication May 7, 2018.)×
Article Information
Correspondence
Correspondence   |   August 2018
Central Venous Lines in Low-birth-weight Newborns: Watch Out
Anesthesiology 8 2018, Vol.129, 387. doi:10.1097/ALN.0000000000002285
Anesthesiology 8 2018, Vol.129, 387. doi:10.1097/ALN.0000000000002285
To the Editor:
I wish to congratulate the authors of the paper “A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulation in Preterm Infants.”1  Anyone who has been involved with low-birth-weight newborns know that cardiac tamponade is a real and deadly complication caused by a central line placement. This dilemma is caused by the catheter tip getting lodged in the pericardial sack; the resultant infusion of the intravenous fluids causes the tamponade.2–4  The reported incidence is between 0.07% and 2%.4  This complication was not mentioned by the authors.
Their retrospective review of their central venous line insertion technique would seem to be a great step forward in making central venous catheter placement in this group of patients safer. Prospective studies, as mentioned by the authors, must be done to ascertain the real short-term and long-term safety of this technique.
Competing Interests
The author declares no competing interests.
John G. Brock-Utne, M.D., Ph.D., Stanford University School of Medicine, Stanford, California. brockutn@stanford.edu
Reference
Reference
Breschan, C, Graf, G, Jost, R, Stettner, H, Feigl, G, Neuwersch, S, Stadik, C, Koestenberger, M, Likar, R A retrospective analysis of the clinical effectiveness of supraclavicular, ultrasound-guided brachiocephalic vein cannulations in preterm infants. Anesthesiology 2018; 128:38–43 [Article] [PubMed]
Kayashima, K Factors affecting survival in pediatric cardiac tamponade caused by central venous catheters. J Anesth 2015; 29:944–52 [Article] [PubMed]
Brock-Utne, JG Clinical Anesthesia: Near Misses and Lessons Learned. 2018, pp 2nd Edition, Cham, Switzerland, Springer, 289–90
Pizzuti, A, Parodi, E, Abbondi, P, Frigerio, M Cardiac tamponade and successful pericardiocentesis in an extremely low birth weight neonate with percutaneously inserted central venous line: A case report. Cases J 2010; 3:15 [Article] [PubMed]