Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/34741 |
Resumo: | Introduction: Following the advances in medicine, ultrasound at the bedside (point-of-care ultrasound) has become a fundamental part of emergency medical assistance and emergency. The safety and ease of this exam make it a valuable tool to provide information in real time, helping to interpret signs and symptoms and, consequently, to make the diagnosis faster and more accurate. In the pediatric intensive care area, the point-of-care USG can be even more relevant, especially when it comes to the investigation of acute conditions, such as cases of neonatal cardiopulmonary arrest. Objective: To report a case of cardiorespiratory arrest due to cardiac tamponade in a pediatric patient and to highlight the importance of point-of-care ultrasonography in the diagnostic and therapeutic process of the case. Case Report: Premature newborn, female, born at 26 weeks and admitted to the Intensive Care Unit for support. The patient evolved with apnea and hemodynamic instability and subsequent cardiorespiratory arrest. In the diagnostic process, the main causes of cardiorespiratory arrest were investigated according to the American Heart Association's Pediatric Advanced Life Support protocol. After analyzing the symptoms and the patient's evolution, one of the main hypotheses suggested was cardiac tamponade, whose definitive diagnosis was made by means of point-of-care ultrasonography. Conclusion: Point-of-care ultrasonography has proved to be extremely important as it allows for a quick and accurate diagnosis, in addition to allowing adequate treatment and complete reversal of the patient's clinical condition. In addition, this test was able to show the probable cause of cardiac tamponade, revealing an intracardiac perforation possibly caused by the peripherally inserted central catheter used in the patient. |
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Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case reportDiagnóstico de tamponamento cardíaco em quadro de parada cardiorrespiratória neonatal utilizando-se ultrassonografia point-of-care: relato de casoTamponamento CardíacoTestes ImediatosParada cardíacaCardiac tamponadePoint-of-care TestingCardiopulmonary Heart ArrestIntroduction: Following the advances in medicine, ultrasound at the bedside (point-of-care ultrasound) has become a fundamental part of emergency medical assistance and emergency. The safety and ease of this exam make it a valuable tool to provide information in real time, helping to interpret signs and symptoms and, consequently, to make the diagnosis faster and more accurate. In the pediatric intensive care area, the point-of-care USG can be even more relevant, especially when it comes to the investigation of acute conditions, such as cases of neonatal cardiopulmonary arrest. Objective: To report a case of cardiorespiratory arrest due to cardiac tamponade in a pediatric patient and to highlight the importance of point-of-care ultrasonography in the diagnostic and therapeutic process of the case. Case Report: Premature newborn, female, born at 26 weeks and admitted to the Intensive Care Unit for support. The patient evolved with apnea and hemodynamic instability and subsequent cardiorespiratory arrest. In the diagnostic process, the main causes of cardiorespiratory arrest were investigated according to the American Heart Association's Pediatric Advanced Life Support protocol. After analyzing the symptoms and the patient's evolution, one of the main hypotheses suggested was cardiac tamponade, whose definitive diagnosis was made by means of point-of-care ultrasonography. Conclusion: Point-of-care ultrasonography has proved to be extremely important as it allows for a quick and accurate diagnosis, in addition to allowing adequate treatment and complete reversal of the patient's clinical condition. In addition, this test was able to show the probable cause of cardiac tamponade, revealing an intracardiac perforation possibly caused by the peripherally inserted central catheter used in the patient.Introdução: Acompanhando os avanços da medicina, a ultrassonografia à beira do leito (point-of-care ultrasound) tornou-se parte fundamental do atendimento médico de urgência e emergência. A segurança e a facilidade desse exame complementar fazem dele uma ferramenta valiosa para fornecer informações em tempo real, auxiliando na interpretação dos sinais e sintomas e, consequentemente, na elaboração mais rápida e precisa do diagnóstico. Na área de medicina intensiva pediátrica, a USG point-of-care consegue ser ainda mais relevante, sobretudo quando se trata da investigação de quadros agudos, como casos de parada cardiorrespiratória neonatal. Objetivo: Relatar um caso de parada cardiorrespiratória por tamponamento cardíaco em paciente pediátrico e evidenciar a importância da ultrassonografia point-of-care no processo diagnóstico e terapêutico do caso. Relato de Caso: Recém-nascido prematuro, do sexo feminino, nascido de 26 semanas e internado em unidade de terapia intensiva para suporte. A paciente evoluiu com apneia e instabilidade hemodinâmica e posterior parada cardiorrespiratória. No processo diagnóstico, foram investigadas as principais causas de parada cardiorrespiratória de acordo com o protocolo Pediatric Advanced Life Support da American Heart Association. Após análise do quadro clínico e evolução da paciente, uma das principais hipóteses sugeridas foi o tamponamento cardíaco, cujo diagnóstico definitivo foi realizado por meio da ultrassonografia point-of-care. Conclusões: A ultrassonografia point-of-care demonstrou ser extremamente importante por permitir um diagnóstico rápido e preciso, além de ter possibilitado tratamento adequado e reversão completa do quadro clínico da paciente. Além disso, esse exame de imagem foi capaz de evidenciar a provável causa do tamponamento cardíaco, revelando uma perfuração intracardíaca possivelmente acarretada pelo cateter central de inserção periférica utilizado na paciente.Editora UFJF2021-12-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelCasapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/3474110.34019/1982-8047.2021.v47.34741HU Revista; v. 47 (2021); 1 - 51982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/34741/23783Copyright (c) 2021 Matheus Novelli, Alana Balbueno, Eduarda Demoner Paseto, Igor Marinho Pereira, Ronaldo Afonso Torreshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNovelli, MatheusBalbueno, AlanaDemoner Paseto, EduardaMarinho Pereira, IgorAfonso Torres, Ronaldo2021-10-07T13:00:29Zoai:periodicos.ufjf.br:article/34741Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2021-10-07T13:00:29HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report Diagnóstico de tamponamento cardíaco em quadro de parada cardiorrespiratória neonatal utilizando-se ultrassonografia point-of-care: relato de caso |
title |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report |
spellingShingle |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report Novelli, Matheus Tamponamento Cardíaco Testes Imediatos Parada cardíaca Cardiac tamponade Point-of-care Testing Cardiopulmonary Heart Arrest |
title_short |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report |
title_full |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report |
title_fullStr |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report |
title_full_unstemmed |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report |
title_sort |
Diagnosis of cardiac tamponade in neonatal cardiopulmonar arrest using point-of-care ultrasonography: case report |
author |
Novelli, Matheus |
author_facet |
Novelli, Matheus Balbueno, Alana Demoner Paseto, Eduarda Marinho Pereira, Igor Afonso Torres, Ronaldo |
author_role |
author |
author2 |
Balbueno, Alana Demoner Paseto, Eduarda Marinho Pereira, Igor Afonso Torres, Ronaldo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Novelli, Matheus Balbueno, Alana Demoner Paseto, Eduarda Marinho Pereira, Igor Afonso Torres, Ronaldo |
dc.subject.por.fl_str_mv |
Tamponamento Cardíaco Testes Imediatos Parada cardíaca Cardiac tamponade Point-of-care Testing Cardiopulmonary Heart Arrest |
topic |
Tamponamento Cardíaco Testes Imediatos Parada cardíaca Cardiac tamponade Point-of-care Testing Cardiopulmonary Heart Arrest |
description |
Introduction: Following the advances in medicine, ultrasound at the bedside (point-of-care ultrasound) has become a fundamental part of emergency medical assistance and emergency. The safety and ease of this exam make it a valuable tool to provide information in real time, helping to interpret signs and symptoms and, consequently, to make the diagnosis faster and more accurate. In the pediatric intensive care area, the point-of-care USG can be even more relevant, especially when it comes to the investigation of acute conditions, such as cases of neonatal cardiopulmonary arrest. Objective: To report a case of cardiorespiratory arrest due to cardiac tamponade in a pediatric patient and to highlight the importance of point-of-care ultrasonography in the diagnostic and therapeutic process of the case. Case Report: Premature newborn, female, born at 26 weeks and admitted to the Intensive Care Unit for support. The patient evolved with apnea and hemodynamic instability and subsequent cardiorespiratory arrest. In the diagnostic process, the main causes of cardiorespiratory arrest were investigated according to the American Heart Association's Pediatric Advanced Life Support protocol. After analyzing the symptoms and the patient's evolution, one of the main hypotheses suggested was cardiac tamponade, whose definitive diagnosis was made by means of point-of-care ultrasonography. Conclusion: Point-of-care ultrasonography has proved to be extremely important as it allows for a quick and accurate diagnosis, in addition to allowing adequate treatment and complete reversal of the patient's clinical condition. In addition, this test was able to show the probable cause of cardiac tamponade, revealing an intracardiac perforation possibly caused by the peripherally inserted central catheter used in the patient. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion RelCas |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/34741 10.34019/1982-8047.2021.v47.34741 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/34741 |
identifier_str_mv |
10.34019/1982-8047.2021.v47.34741 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/34741/23783 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 47 (2021); 1 - 5 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
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UFJF |
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UFJF |
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HU Revista (Online) |
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HU Revista (Online) |
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HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
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revista.hurevista@ufjf.edu.br |
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