Supraventricular tachycardia induced by central venous catheter in a newborn
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v31.i2.21850Keywords:
central venous catheter, hemolytic disease of newborn, supraventricular tachycardia, tachyarrhythmiaAbstract
Introduction: Central venous catheter (CVC) is an important tool in newborn care in the Neonatal Intensive Care Unit. Complications related to CVC placement, such as tachyarrhythmia, are most often due to malposition.
Case report: Herein is reported the case of a preterm neonate who developed supraventricular tachycardia after insertion of an umbilical venous catheter (UVC). The UVC was pulled out, but reestablishment of the sinus rhythm required adenosine administration.
Discussion: Despite being rare in preterm newborns, tachyarrhythmia is a well-known complication of catheter malposition, mostly caused by low anatomic accuracy associated with the small size of the heart.
Conclusion: In cases of tachyarrhythmia in newborns, it is mandatory not only to review the CVC position within the heart but also to rapidly diagnose the type of arrhythmia, avoiding more severe complications.
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Amer A, Broadbent RS, Edmonds L, Wheeler BJ. Central venous catheter-related tachycardia in the newborn: Case report and literature review. Case Rep Med. 2016;2016:1–4.
Sheta A, Al-Awad E, Soraisham A. Supraventricular tachycardia associated with umbilical venous catheterization in neonates. J Clin Neonatol. 2018;7(3):166.
Prabha L, Khan A, Galal M, Saba Y El, Senthilkumar K. Central Venous Catheter-Induced Cardiac Arrhythmias in Neonates. In: Umashankar Lakshmanadoss (Eds). Card Arrhythm [Internet]. IntechOpen. London, United Kingdon. 2018;161-175. Available from: http://dx.doi.org/10.5772/intechopen.74559.
Almeida MM de, Tavares WG de S, Furtado MMAA, Fontenele MMFT. Flutter atrial neonatal após inserção de cateter umbilical intracardíaco. Rev Paul Pediatr [Internet]. 2016;34(1):132–5. Available from: http://dx.doi.org/10.1016/j.rpped.2015.05.005.
Srinivasan C, Balaji S. Neonatal supraventricular tachycardia _ Elsevier Enhanced Reader.pdf. Indian Pacing Eletrophysiology J. 2019;222–31.
Adenosine. In: NeoFax. Greenwood Village (CO): IBM Corporation; 2020 [cited 2020 Dec]. Available from: http://www.micromedexsolutions.com. Subscription required to view.
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Copyright (c) 2022 Mariana Portela, Lídia Leite, Sofia Granja, Filipa Raposo, Almerinda Barroso, Clara Machado
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