Pericardiocentesis: differential aspects of a common procedure.
Intensive Care Med
; 26(5): 572-6, 2000 May.
Article
en En
| MEDLINE
| ID: mdl-10923732
ABSTRACT
OBJECTIVE:
To evaluate the risk and effectiveness of pericardiocentesis in primary and repeat cardiac tamponade.DESIGN:
Retrospective analysis.SETTING:
Intensive care unit in a medical university hospital. PATIENTS Sixty-three consecutively admitted patients with cardiac tamponade.INTERVENTIONS:
In all patients pericardiocentesis was performed via the subxiphoid pathway after echocardiographic detection of the pericardial effusion. MEASUREMENTS ANDRESULTS:
There was no adverse event in patients undergoing primary pericardiocentesis, which was sufficient to resolve pericardial effusion in 51 of 63 patients (81%). However, repeat pericardiocentesis necessitated by the recurrence of symptomatic pericardial effusion yielded suboptimal results in 10 of 12 patients (83%).CONCLUSION:
Pericardiocentesis is the treatment of choice for primary symptomatic pericardial effusion. In recurrent pericardial effusion surgical approaches appear to be preferable.
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Banco de datos:
MEDLINE
Asunto principal:
Derrame Pericárdico
/
Taponamiento Cardíaco
/
Pericardiocentesis
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Intensive Care Med
Año:
2000
Tipo del documento:
Article
País de afiliación:
Alemania