Utilizing POCUS for the Identification and Management of PICC Line-Associated Cardiac Tamponade

Peripherally inserted central catheters (PICCs) are commonly used in pediatric patients, but rare complications such as cardiac tamponade can occur. This case report describes a 5-month-old ex-premature infant who developed cardiac tamponade associated with PICC line malposition. Point of care ultrasound (POCUS) was used to diagnose and effectively manage the condition peri-arrest via emergent pericardiocentesis. The report highlights the role of POCUS in the prompt identification and treatment of hemodynamic deteriorations and posits potential utilization of POCUS as a tool in preventative surveillance.