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British Journal of Anaesthesia, 2001, Vol. 87, No. 2 298-302
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Central venous catheterization and fatal cardiac tamponade

S. A. Booth1, B. Norton2 and D. A. Mulvey*,3

1Department of Anaesthesia, Addenbrooke’s Hospital, Hills Road, Cambridge CB2 2QQ, UK. 2Medical Directorate and 3Critical Care Directorate, Derbyshire Royal Infirmary, London Road, Derby DE1 2QY, UK*Corresponding author

Cardiac tamponade is a poorly recognized complication of central venous catheterization associated with a high mortality. We present a case of fatal cardiac tamponade after intra- pericardial infusion of total parenteral nutrition in a patient who had two central venous catheters. We suggest that catheter tip position should always be confirmed before use of a catheter. Tamponade should be suspected in a patient who deteriorates when a central venous catheter is used and resuscitation via the catheter should be avoided.

Br J Anaesth 2001; 87: 298–302


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