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Case No. 164

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Clinical Scenario
You are performing an emergent pericardiocentesis in the Emergency Department on an unstable patient in cardiac tamponade secondary to several missed dialysis sessions. You decide to use a parasternal long approach to perform the procedure.
Question
Which statement is true regarding a parasternal long approach to a pericardiocentesis?
  • Ultrasonography should not be used given the proximity of the heart to the chest wall in the parasternal long approach
  • The insertion point is in the 5th intercostal space just lateral to the sternum
  • The insertion point is in the 5th intercostal space at the cardiac apex
  • There are fewer complications associated with a parasternal long axis pericardiocentesis when using ultrasonography
  • Question
    Which statement is true regarding a parasternal long approach to a pericardiocentesis?
  • Ultrasonography should not be used given the proximity of the heart to the chest wall in the parasternal long approach
  • The insertion point is in the 5th intercostal space just lateral to the sternum
  • The insertion point is in the 5th intercostal space at the cardiac apex
  • There are fewer complications associated with a parasternal long axis pericardiocentesis when using ultrasonography
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