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Usefulness of skills in point of care ultrasound and simulation-based training as essential competencies in acute management of neonatal cardiac tamponade.在新生儿心脏压塞的急性处理中，床边超声技能和基于模拟的训练作为基本能力的实用性。
BMJ Case Rep. 2024 Feb 17;17(2):e256151. doi: 10.1136/bcr-2023-256151.
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Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report.新生儿心脏压塞，一种由外周置入中心静脉导管引起的危及生命的并发症：病例报告。
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Pericardial effusion with cardiac tamponade caused by a central venous catheter in a very low birth weight infant.极低出生体重儿因中心静脉导管导致的心包积液伴心脏压塞。
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[Premature baby with cardiac tamponade after displacement of peripheral inserted central catheter].[外周置入中心静脉导管移位后出现心脏压塞的早产儿]
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[Cardiac tamponade associated with umbilical venous catheter (UVC) placed in inappropriate position].[与放置位置不当的脐静脉导管（UVC）相关的心包填塞]
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Peripherally inserted central catheter related pericardial effusion/cardiac tamponade in neonates: Analysis of two cases and literature review.外周置入中心静脉导管相关性新生儿心包积液/心脏压塞：两例病例分析及文献复习。
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本文引用的文献

1
The incidence and mortality rate of catheter-related neonatal pericardial effusion: A meta-analysis.导管相关性新生儿心包积液的发生率和死亡率：一项荟萃分析。
Medicine (Baltimore). 2022 Nov 25;101(47):e32050. doi: 10.1097/MD.0000000000032050.
2
Neonatal cardiac tamponade, a life-threatening complication secondary to peripherally inserted central catheter: a case report.新生儿心脏压塞，一种由外周置入中心静脉导管引起的危及生命的并发症：病例报告。
J Med Case Rep. 2022 Jul 28;16(1):305. doi: 10.1186/s13256-022-03506-4.
3
Cardiac tamponade from peripherally-inserted central venous catheters in neonates: Three case reports.新生儿外周置入中心静脉导管致心脏压塞：三例报告。
Med J Malaysia. 2021 Jul;76(4):566-568.
4
Initial Experience with a Novel Pericardiocentesis Training Simulator Incorporating a Three-dimensional Printed Cardiac Model.使用包含三维打印心脏模型的新型心包穿刺训练模拟器的初步经验。
J Innov Card Rhythm Manag. 2021 Jun 15;12(6):4551-4555. doi: 10.19102/icrm.2021.120603. eCollection 2021 Jun.
5
Peripherally inserted central cathether migration in neonates: Incidence, timing and risk factors.外周置入中心静脉导管在新生儿中的迁移：发生率、时间和危险因素。
J Neonatal Perinatal Med. 2021;14(3):411-417. doi: 10.3233/NPM-200684.
6
Pericardial Effusion/Cardiac Tamponade Induced by Peripherally Inserted Central Catheters in Very Low Birth Weight Infants: A Case Report and Literature Review.极低出生体重儿经外周静脉穿刺中心静脉置管引起的心包积液/心脏压塞：一例报告及文献复习
Front Pediatr. 2020 May 15;8:235. doi: 10.3389/fped.2020.00235. eCollection 2020.
7
Percutaneous Route of Life: Chylothorax or Total Parenteral Nutrition-Related Bilateral Pleural Effusion in a Neonate?经皮途径导致的乳糜胸或全肠外营养相关性双侧胸腔积液：新生儿？
Fetal Pediatr Pathol. 2021 Oct;40(5):505-510. doi: 10.1080/15513815.2020.1716897. Epub 2020 Jan 31.
8
Risk factors for peripherally inserted central catheter complications in neonates.新生儿外周置入中心静脉导管并发症的危险因素。
J Perinatol. 2020 Apr;40(4):581-588. doi: 10.1038/s41372-019-0575-7. Epub 2020 Jan 7.
9
Inexpensive, High-Fidelity Model to Simulate Ultrasound-Guided Pericardiocentesis for Cardiology Resident Training.用于心脏病学住院医师培训的超声引导下心包穿刺术的经济实惠、高保真模型。
Can J Cardiol. 2019 Nov;35(11):1600-1603. doi: 10.1016/j.cjca.2019.05.029. Epub 2019 May 29.
10
Neonatal percutaneous central venous catheters: Equations for the inserted length and locations of the insertion sites.新生儿经皮中心静脉导管：插入长度及插入部位位置的计算公式。
Pediatr Neonatol. 2019 Jun;60(3):235-236. doi: 10.1016/j.pedneo.2019.04.009. Epub 2019 May 4.

在新生儿心脏压塞的急性处理中，床边超声技能和基于模拟的训练作为基本能力的实用性。

Usefulness of skills in point of care ultrasound and simulation-based training as essential competencies in acute management of neonatal cardiac tamponade.

机构信息

Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India

出版信息

BMJ Case Rep. 2024 Feb 17;17(2):e256151. doi: 10.1136/bcr-2023-256151.

DOI:10.1136/bcr-2023-256151
PMID:38367993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10875498/
Abstract

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.

摘要

经外周静脉穿刺中心静脉置管（PICC）是新生儿重症监护病房的常规操作，需要长时间静脉补液、营养和药物支持。新生儿心脏压塞是 PICC 置管的严重且罕见的并发症。通过即时超声（POCUS）早期发现和心包穿刺引流治疗，可以提高患儿的生存率。在模型上进行基于模拟的定期培训课程，以及了解 POCUS，可以帮助新生儿科医生和儿科医生在这种紧急情况下快速做出适当的反应。