Learning about cardiac tamponade and pericardiocentesis скачать в хорошем качестве

Learning about cardiac tamponade and pericardiocentesis

Medical student studying about the management of cardiac tamponade and how to do a pericardiocentesis. Management of cardiac tamponade Echocardiogram Echocardiogram guided pericardiocentesis Emergency pericardiocentesis if echo not available (subxiphoid approach) Other measures: Oxygen Small IV bolus (normal saline) Dobutamine (positive inotrope) Pericardiocentesis technique Emergency: subxiphoid, between xiphoid process and left subcostal space, needle pointing down 40 degrees, pointing towards patient's left shoulder, short fast jabs (ideally with ultrasound guidance) Apical technique (? left 6th ICS, ultrasound guided) Aspirate pericardial fluid and send for cytology and culture to find out the underlying cause and treat it accordingly. (if cardiac tamponade due to sharp trauma to the chest will be grossly obvious)