Dec 04, 2002, 12:14 PM
I have seen this only once it was in a baby with an umbilical line. In this case it was clear that the cause of the cardiac tamponade was the long line as the fluid from it was milky white and obviously lipid that the baby had been recieving.
Although there are other causes of cardiac tamponade the way you talk of "fluid rather than "blood" or "puss" mades me wouder
I expect most units have similar policies on their insertion and care but here are ours. Umbilical (long) lines ideally sit in a large vein and preferably just outside the heart.
We use them in babies that are likely to need long term fluid therapy (particularly very preterm infants) as they last longer than ordinary canulas need fewer changes so cause less trauma to the baby. Initially they are inserted into the umbilicus because it is less traumatic for the baby, later into a vein in the leg or arm.
They have two major risks, infection is the most common and we are ultra careful changing fluids etc to try and prevent this. The 2nd is that they puncture the heart or pulmonary artery, we try to prevent this with the position (as I said just out side the heart not in it) and this is checked by an xray just after insertion to insure it's correct position. BUT sometimes they move the flow of blood seems to straighten the lines and very occasionally the tip flows into the heart this is quite rare I have worked in intensive care for 8 years and only seen it once.
I hope you and your little one are doing well now
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