Subxiphoid pericardial window in the diagnosis of penetrating cardiac trauma

Andrade-Alegre, Rafael; Mon, Luis

doi:10.1016/0003-4975(94)90473-1

Cited by 50 publications

(19 citation statements)

References 12 publications

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“…In the past, diagnostic subxiphoid pericardiotomy was utilized to diagnose occult cardiac injuries in hemodynamically stable patients with injuries near the heart (7,8). Screening subxiphoid pericardial window remains the gold standard of diagnosing significant injury from penetrating cardiac trauma in high-volume centers with limited capability for performing diagnostic ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Penetrating Cardiac Injury from a Wooden Knitting Needle

Hsia

Mahadevan

Brundage

2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Penetrating Cardiac Injury from a Wooden Knitting Needle

Hsia

Mahadevan

Brundage

2012

The Journal of Emergency Medicine

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“…[11] Transtorasik ekokardiyografinin ve subksifoidal perikardiyal pencere açılmasının tanıda faydalı olabileceği, hemoperikardiumu olan ve hemodinamisi stabil olan fakat tamponad tanısı konulamayan hastaların cerrahi müdahaleye alınmaksızın takip altında tutulabileceği, bu hastaların kan basıncının, idrar çıkışının, santral venöz basıncının, elektrokardiyografi (EKG)'sinin ve hemoglobin düzeyinin sıkı takibinin yapılması gerektiği bildirilmiştir. [12] Çalışmamızdaki hastaların çoğunluğu ilk görüldüklerinde preşok/şok tablosundaydı. Ameliyat öncesinde bu hastalardan yalnızca dördüne BT birine de ilaveten koroner anjiyografi yapılırken, diğer 15 hasta TTE'ye ek olarak ileri incelemeler yapılamadan hızla ameliyat odasına alındı.…”

Section: Discussionunclassified

“…Ameliyat öncesi TTE yapıla-mayan hastalarda ventrikül içi yaralanmaların ve kapak işlevlerinin değerlendirilmesi maksadıyla ameliyat esnasında TEE yapılması faydalı olabilir. [12] Bizim hastalarımızın tümünde ameliyat öncesi dönemde TTE yapıldı. Ventriküler septal defekti kapatılan bir hastaya kontrol amaçlı ameliyat sırası TEE yapıldı.…”

Section: Discussionunclassified

Penetrating cardiac injuries: Review of 19 cases

Çolak¹

2017

Turk Gogus Kalp Dama

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“…It has been documented to be sensitive, accurate, and specific for the diagnosis of cardiac injuries in patients sustaining penetrating trauma [15,16]. Usually, however, it requires general anesthesia, is an invasive technique, and complications have been reported [17,18].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Cardiac Injuries by Surgeon-Performed Ultrasound: a Safe and Expeditious Alternative for Suspected Cardiac Injuries

Carrillo

Guinn

Ali

et al. 2000

European Journal of Trauma

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Surgeon-performed ultrasound continues to evolve as a useful, safe, and efficient diagnostic alternative to document the presence of hemopericardium in patients sustaining penetrating injuries to the precordial region. With growing experience, its excellent sensitivity and specificity in the identification of cardiac injuries have become evident. As ultrasound for blunt abdominal trauma has been able to eliminate unnecessary diagnostic peritoneal lavages, its use in the evaluation of penetrating precordial injuries holds the promise to expedite the diagnosis of cardiac injuries and eliminate unnecessary pericardial windows and their associated morbidity.Ultrasound was performed by surgeons-in-training with supervision by a trauma surgeon at a Level-I trauma center in patients sustaining penetrating injuries to the precordial area.During the review period, 34 patients underwent precordial ultrasound (22 negative, 9 positive and 3 equivocal). There were no false-positives or false-negatives. All equivocal results were followed by a subxiphoid pericardial window that demonstrated no evidence of cardiac injury.Based on these data, we recommend that surgeonperformed ultrasound replace all other clinical, radiologic, and surgical diagnostic alternatives classically used to determine the presence of hemopericardium in stable patients with penetrating precordial injuries. Ultrasonography is fast, reliable, consistent, and easy to teach and learn. In those few patients with equivocal findings, other confirmatory diagnostic modalities should be entertained.

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Subxiphoid pericardial window in the diagnosis of penetrating cardiac trauma

Cited by 50 publications

References 12 publications

Penetrating Cardiac Injury from a Wooden Knitting Needle

Penetrating Cardiac Injury from a Wooden Knitting Needle

Penetrating cardiac injuries: Review of 19 cases

Diagnosis of Cardiac Injuries by Surgeon-Performed Ultrasound: a Safe and Expeditious Alternative for Suspected Cardiac Injuries

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