Case No. 164

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Case No. 164


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Chief Complaint:

Published: Dec. 6, 2017
Case No. 164
Author: jason.lopez

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.


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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