SCCM Resource Library-Pericardiocentesis Procedural Tips

Pdf Summary

This resource is a set of procedural tips for performing pericardiocentesis, a medical procedure used to treat cardiac tamponade. It is created by Dr. Raymond Pashun from NYU Langone Medical Center and Grossman School of Medicine. <br /><br />Pericardiocentesis is indicated for patients with cardiac tamponade who have symptoms such as hypotension, tachycardia, jugular venous distention, and pulsus paradoxus. <br /><br />The procedural tips provided in this resource include identifying the best window for accessing fluid collection, using either a phased array probe or a linear probe for guidance, initial access with a small-bore finder needle followed by a small-bore sheath, confirming wire position with an ECG or echocardiogram, and considering the use of agitated saline to confirm the position in the pericardial space. <br /><br />It is also emphasized that hemodynamically unstable patients with cardiac tamponade should not undergo sedation, intubation, or positive pressure ventilation as they are not tolerated well in this condition. <br /><br />Potential complications of pericardiocentesis mentioned in this resource include liver laceration, pneumothorax, and bleeding. <br /><br />It's important to note that this resource is not endorsed by the Society of Critical Care Medicine and is provided by third parties for clinicians to access community-developed resources.

Asset Subtitle

Procedures, Cardiovascular, 2024, 0:10:00

Keywords

pericardiocentesis

cardiac tamponade

procedural tips

accessing fluid collection

phased array probe

linear probe

small-bore finder needle

small-bore sheath

confirming wire position

complications

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