Pericardiocentesis

on 5.9.08 with 0 comments



Fluid removal

  • if you have tamponade, it’s an emergency

  • pericardiocentesis—needle at bedside

  • surgeons can drain it

  • percutaneous balloon, too


stick a needle into the pericardial sac


if you have no echo, hook needle to an EKG lead. this is for protection against poking the myocardium—if you hit the heart, you can see it on the EKG


you can make things worse if you do pericardiocentesis badly


localize needle tip with color Doppler during pericardiocentesis


usually, leave a catheter in there and let it drain for a day or two no slide

Category: Pathology Notes

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