Intrapericardial Dialysis Catheter: A Rare Cause of Cardiac Tamponade Emphasizing the Importance of Early Diagnosis and Management.

We report a rare and serious case of intrapericardial malposition of a dialysis catheter in a 70-year-old patient with chronic kidney disease secondary to IgG kappa amyloidosis. The complication was initially revealed by an episode of supraventricular arrhythmia and confirmed through imaging studies. Catheter removal led to hemodynamic decompensation due to a compressive pericardial effusion, which required emergency sternotomy for drainage.

Nephrotoxicity and Modern Volatile Anesthetics: A Narrative Review.

Volatile anesthetics, while increasingly utilized in intensive care medicine, are associated with significant renal adverse effects. A critical safety concern-particularly with sevoflurane-involves its potential impact on renal function. Pathophysiologically, inorganic fluoride levels exceeding 50 µmol/L are recognized as a threshold for nephrogenic diabetes insipidus, a condition generally considered reversible.