“…However, pericardiocentesis should not be delayed due to placement of central venous catheter. Fluids, blood products, vasopressor, and other medications should be prepared and potential arrhythmia that may develop while manipulating the pericardium and heart should be dealt with by defibrillation [8]. An elevated preload should be sustained during aesthesia and maintaining normal heart rate, afterload, contractility, and sinus rhythm is crucial [5,8].…”