Taponamiento cardíaco asociado a nutrición parenteral: Descripción, medidas de prevención y tratamiento

• Autores: Carmen Hernández Prats, Francisca Llinares Tello, J.N. Navarro Polo, Juan Pablo Ordovás Baines
• Localización: Atención Farmacéutica, ISSN 1139-7357, Vol. 6, Nº. 4, 2004, págs. 300-303
• Idioma: español
• Títulos paralelos:
  • Cardiac tamponade associated with parenteral nutrition: Description, prevention measures and treatment
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• Resumen

  • Objective: The use of central venous catheters (CVC) for the administration of total parenteral nutrition (TPN) has become a routine process in clinical practice, but not without some complications. Although infrequent, cardiac tamponade (CT) is one of those complications associated with a high rate of mortality. We want to emphasize the importance of this fact and the causes that originate it, as well as the prevention and control measures to avoid its appearance in patients carriers of CVC for TPN. Methods: We describe the case of a patient receptor of TPN through catheterization of the right subclavian vein that presented CT. As a probable cause for the episode, it was identified an erosion of the subclavian vein's wall due to the velocity and the hypertonicity of the infused solution. Conclusions: Despite its lower incidence (0.14-0.3%), CT is a diagnosed fact that must be taken into account in patients with inexplicable hemodynamic deterioration and cardiorespiratory arrest. The patient's life will depend on the precocious clinical suspiciousness, on the performance of an echocardiography and on the practice of emergency pericardiocentesis