Pericardiocentesis in trauma

Lee, Tim H.; Ouellet, Jean Francois; Cook, Mackenzie R.; Schreiber, Martin A.; Kortbeek, John B.

doi:10.1097/ta.0b013e3182a1fea2

Cited by 30 publications

(20 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our series trauma surgeons operated all the patients of TCI without using heart lung machine. Acute pericardial tamponade following trauma requires immediate intervention for better outcome 18, 19, 20. But we did not find cardiac tamponade as an independent risk factor for high mortality ( p = 1.000).…”

Section: Discussioncontrasting

confidence: 61%

Traumatic cardiac injury: Experience from a level-1 trauma centre

Mishra

Gupta

Sagar

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

PurposeTraumatic cardiac injury (TCI) is a challenge for trauma surgeons as it provides a short therapeutic window and the management is often dictated by the underlying mechanism and hemodynamic status. The current study is to evaluate the factors influencing the outcome of TCI.MethodsProspectively maintained database of TCI cases admitted at a Level-1 trauma center from July 2008 to June 2013 was retrospectively analyzed. Hospital records were reviewed and statistical analysis was performed using the SPSS version 15.ResultsOut of 21 cases of TCI, 6 (28.6%) had isolated and 15 (71.4%) had associated injuries. Ratio between blunt and penetrating injuries was 2:1 with male preponderance. Mean ISS was 31.95. Thirteen patients (62%) presented with features suggestive of shock. Cardiac tamponade was present in 12 (57%) cases and pericardiocentesis was done in only 6 cases of them. Overall 19 patients underwent surgery. Perioperatively 8 (38.1%) patients developed cardiac arrest and 7 developed cardiac arrhythmia. Overall survival rate was 71.4%. Mortality was related to cardiac arrest (p = 0.014), arrhythmia (p = 0.014), and hemorrhagic shock (p = 0.04). The diagnostic accuracy of focused assessment by sonography in trauma (FAST) was 95.24%.ConclusionHigh index of clinical suspicion based on the mechanism of injury, meticulous examination by FAST and early intervention could improve the overall outcome.

show abstract

Section: Discussioncontrasting

confidence: 61%

Traumatic cardiac injury: Experience from a level-1 trauma centre

Mishra

Gupta

Sagar

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

show abstract

“…W przypadku pourazowego zapalenia osierdzia bez konsewkencji hemodynamicznych leczenia polega na empirycznym podaniu środków przeciwzapalnych z dodatkiem kolchicyny, co jest bezpieczną i skuteczną metodą zapobiegania nawrotom choroby osierdzia [57]. W przypadku zagrażających życiu penetrujących urazów klatki piersiowej i serca zaleca się wykonanie w trybie natychmiastowym torakotomii, co zwiększa szansę na przeżycie pacjenta w przeciwieństwie do klasycznego podejścia, które zakłada wykonanie najpierw perikardiocentezy, a potem zabiegu chirurgicznego [185,186]. Torakotomię przeprowadza się zwykle z dostępu przedniobocznego, co umożliwia otwarcie worka osierdziowego i skuteczne odbarczenie tamponady, z możliwością wykonania bezpośredniego masażu serca, o ile jest to konieczne.…”

Section: Pourazowe Gromadzenie Się Płynu W Worku Osierdziowym I Hemopunclassified

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

202

293

View full text Add to dashboard Cite

“…The result is impaired filling of the ventricles and decreased cardiac output (CO). Strikingly, as little as 250 mL of fluid can cause acute cardiac tamponade, whereas under chronic conditions much greater amounts of fluid can accumulate as the cardiovascular system compensates with the slower, gradual accrual [43].…”

Section: Chest Thoracic Compartment Syndromementioning

confidence: 99%