Cardiac tamponade resident survival guide: Difference between revisions

Jump to navigation Jump to search
Ayokunle Olubaniyi (talk | contribs)
Ayokunle Olubaniyi (talk | contribs)
Line 38: Line 38:
* The drainage of pericardial effusion should be gradual and slow to avoid the precipitation of [[pulmonary edema]].
* The drainage of pericardial effusion should be gradual and slow to avoid the precipitation of [[pulmonary edema]].
* [[Echocardiography]] is the primary modality of choice, considering its high specificity and sensitivity, low cost and lack of radiation.  [[CT]] and cardiac [[MRI]] are indicated when echocardiography is inconclusive.
* [[Echocardiography]] is the primary modality of choice, considering its high specificity and sensitivity, low cost and lack of radiation.  [[CT]] and cardiac [[MRI]] are indicated when echocardiography is inconclusive.
*
* Consider 2D and doppler echocardiography prior to discharge to confirm total removal or detect reaccumulation of pericardial fluid.


==Don'ts==
==Don'ts==

Revision as of 21:45, 26 January 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karol Gema Hernandez, M.D. [2] Ayokunle Olubaniyi, M.B,B.S [3]

Definition

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Management

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Dos

  • Always suspect cardiac tamponade in any patient presenting with hypotension, tachycardia and distended neck veins (or elevated jugular venous pressure).
  • Always measure pulsus paradoxus whenever you suspect cardiac tamponade.
  • Consider the intrapericardial pressure more than the volume of the pericardial fluid in the management of cardiac tamponade.
  • The drainage of pericardial effusion should be gradual and slow to avoid the precipitation of pulmonary edema.
  • Echocardiography is the primary modality of choice, considering its high specificity and sensitivity, low cost and lack of radiation. CT and cardiac MRI are indicated when echocardiography is inconclusive.
  • Consider 2D and doppler echocardiography prior to discharge to confirm total removal or detect reaccumulation of pericardial fluid.

Don'ts

References

Template:WH Template:WS