Create a Notebook
You currently don't have any notebooks.
If you want to save this article into a notebook, you can create one now.
What is the issue?
Let us know in a brief paragraph or sentence why you are flagging this article. Here are some other issues we, at CodeHealth, would like to know about:
Pericardial effusion and cardiac tamponade are potentially life threatening clinical presentations which can lead to death if not immediately treated. The effusion around the heart is typically evaculated by performing a pericardiocentesis. Some form of this procedure has been described since the mid-1600s, but still remains the standard approach for evacuating life threatening effusions. Advances in medical procedure have lead to the use of ultrasonography the help visualize the pericardial effusion to be drained. Although this procedure should be performed by a knowledable practitioner in the emergent procedure even in the abscence of bedside ultrasound
Some findings of cardiac tamponade include:
For more information on cardiac tamponade.
Generally, a patient who has a pericardial effusion with unstable vitals signs is an indication for a pericardiocentesis
Before proceeding with the procedure it is a recommended that you have an EKG for the patient, you place the patinet on a cardiac montir and defibrillation pads.
Option (especially if doing a emergent procedure):
using a bedside ultrasound identify the pericardial effusion from a subxiphoid approach. This will also be your guide to where you will insert your needle.
for your landmarks specifically noting the location of the subxiphoid area.
if you have time, clean the patient’s skin with antibacterial cleanser, drape the surround area and administer local anesthesia
from a subxiphoid approach, insert and advance your spinal needle, aiming towards the patient’s left shoulder. While advancing your needle continuously apply negative pressure until you receive a flash of pericardial fluid or can visualize your needle in the pericardial space on ultrasound. Continue evacuating fluid until the patient’s vital signs normalize or when you cannot remove any more fluid from the pericardial space.
Creates a new section with subtitle and text
Insert text without a subtitle
Insert an inline image