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| | Pericardiocentesis AHealthyMe.com |
 | | Pericardiocentesis is the removal by needle of pericardial fluid from the sac surrounding the heart for diagnostic or therapeutic purposes. | | | If the pericardiocentesis is performed to treat a cardiac tamponade or other significant fluid build-up, a pericardial catheter may be attached to the needle to allow for continuous drainage. | | | When pericarditis is suspected, pericardiocentesis may be advisable in order to obtain a fluid sample for laboratory analysis to identify the underlying cause of the condition. |
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http://www.ahealthyme.com/topic/topic103548076
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| | NGC - NGC Summary |
| | A rescue pericardiocentesis guided by echocardiography successfully relieved tamponade after cardiac perforation in 99% of 88 patients and was the definitive therapy in 82% of the cases. | | | Pericardiocentesis in acute traumatic haemopericardium and purulent pericarditis is probably less appropriate than surgical drainage. | | | The use of corticoid therapy is contraindicated except in patients with secondary tuberculous pericarditis, as an adjunct to tuberculostatic treatment (level of evidence A, class I). |
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http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=4960&nbr=3524
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| | Pericardiocentesis |
| | Pericardiocentesis, also called a pericardial tap, is an invasive procedure that involves using a needle and catheter to remove fluid (called a pericardial effusion) from the sac around the heart (the pericardium). | | | Pericardiocentesis is usually fairly safe, especially when imaging is used to guide the needle. | | | Occasionally, pericardiocentesis is performed on an emergency basis to treat a condition called cardiac tamponade. |
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http://humana.webmduat.net/content/pages/14/81968
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| | Efusión pericárdica y pericardiocentesis ecoguiada |
| | Pericardiocentesis guided by 2-D echocardiography is the method of choice for treatment of pericardial effusion. | | | Two-dimensional echocardiographically guided pericardiocentesis: experience in 117 consecutive patients. | | | Girardi LN, Ginsberg RJ, Burt ME. Pericardiocentesis and Intrapericardial Sclerosis: Effective Therapy for Malignant Pericardial Effusions. |
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http://www.seleccionesveterinarias.com/References_efusion_pericardica.htm
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| | Bundesverband Niedergelassener Kardiologen e.V. (BNK) |
| | Pericardiocentesis under echocardiographic contrast agent guidance is a safe, successful and cost effective procedure for diagnostic and therapeutic drainage of pericardial effusion. | | | Of these, 15 patients underwent repeated successful pericardiocentesis (2.5 ± 0.8), and 3 patients were referred to surgical pericardiotomy. | | | Major complications associated with blind needle punctures are right heart penetration, hemopericardium, puncture of the coronary arteries, liver and lung bleeding. |
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http://www.bnk.de/herz/en/1888_3031.htm
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| | Technique of pericardiocentesis |
| | Rarely, pericardiocentesis to relieve cardiac tamponade is complicated by acute left ventricular failure with pulmonary edema [8,9,10]. | | | With warfarin therapy, the higher the INR, the greater the risk of pericardiocentesis. | | | Puncture needle ― Sites where elective pericardiocentesis are carried out should have a supply of suitable needles with short bevel to lessen the risk of lacerating the myocardium or a coronary vessel. |
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http://cmbi.bjmu.edu.cn/uptodate/myopericardial%20disease/Pericarditis/Technique%20of%20pericardiocentesis.htm
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| | Penetrating Cardiac Trauma |
| | While this work correctly highlighted the importance of pericardiocentesis for the treatment of tamponade, its emphasis upon conservative treatment was incorrect. | | | The first successful pericardiocentesis for cardiac tamponade secondary to a penetrating cardiac wound was accomplished in 1829 by Larrey, surgeon to Napoleon (4,7). | | | During World War II, pericardiocentesis as a non-operative treatment of cardiac wounds was advocated. |
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http://www.medicine.mcgill.ca/mjm/issues/v01n01/cardiac.html
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| | TRAUMA.ORG: Permissive Hypotension |
| | Some confusion seems to be present here--neither a pericardiocentesis nor a pericardial window are therapeutic maneuvers, only diagnostic ones--blood in the pericardial sac is NOT the problem--the problem is WHERE the blood came from. | | | By performing a pericardiocentesis you will be effectively committing a patient to a pericardial exploration, so, get an ultrasound if you can and a surgeon if you are suspicious of tamponade. | | | The other advantage of the thoracotomy is that you can rapidly expand it to a clamshell with a pair of scissors or a Gigli saw, can get a clamp on the descending aorta to perfuse brain preferentially and can also do open massage on a heart whose filling you can simply see. |
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http://www.trauma.org/archives/pericardiocentesis.html
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| | Cardiac services - Treatments, Pericardiocentesis |
| | Pericardiocentesis uses a needle to remove fluid from the sac for either laboratory testing or to relieve pressure on the heart caused by excess fluid. | | | A guide wire is passed through the needle, the needle is removed and a flexible, hollow tube (catheter) replaces the needle. |
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http://www.aurorahealthcare.org/services/cardiac/treatments/pericardiocentesis.asp
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| | Echocardiographically guided pericardiocentesis : The gold standard for the management of pericardial effusion and ... |
| | While echocardiographically guided pericardiocentesis was described originally at centres with large volumes of patients with clinically significant pericardial effusions and with extensive experience in using this technique, similar high success and low complication rates were attained at an institution with relatively low numbers of patients requiring pericardial drainage. | | | CONCLUSIONS: Echocardiographically guided pericardiocentesis is safe and effective, and is the method of choice for therapeutic and diagnostic drainage of pericardial effusions. | | | There were no deaths, and no patient required urgent referral for surgical management. |
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http://www.pulsus.com/CARDIOL/15_11/sale_ed.htm
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| | JPMA ::: |
| | This suggests that echocardiography assisted pericardiocentesis is a safe and effective procedure for the treatment of clinically significant PEs. | | | Echocardiography assisted pericardiocentesis is sample safe and effective for primary treatment of clinically significant PE. | | | Two-dimensional echocardiographically guided pericardiocentesis: experience in 117 consecutive patients. |
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http://jpma.org.pk/JPMA/02feb05/fulltext6.htm
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| | Immersion Corporation - Welcome to the Immersion Web Site |
| | Pericardiocentesis is an emergency procedure required for all doctors to learn as part of their Advanced Trauma Life Support training. | | | Immersion Medical's portable, computer-based training simulator will focus on the needles and catheters used in pericardiocentesis and model the interaction with relevant thoracic anatomy. | | | During the procedure, a physician inserts a needle through the chest wall to remove fluid around a patient's heart. |
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http://immr.client.shareholder.com/ReleaseDetail.cfm?ReleaseID=111520
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| | Acute Tamponade in the Interventional Setting – Contrast Echocardiography-Assisted Pericardiocentesis |
| | It is concluded that the contrast echocardiography enhances the safety and operator confidence of pericardiocentesis in acute tamponade, and is a simple and widely applicable technique. | | | The area of enhancement caused by the microbubbles indicated the needle's position. | | | Allpatients were successfully resuscitated without the need for open heart surgery. |
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http://indianheartjournal.com/Sept-Oct2004/html/250_acute_tamponade_in.htm
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| | Global RPH Content: Hands-On Help: Cardiac Tamponade |
| | The treatment of choice is pericardiocentesis, that is, needle aspiration of blood or other fluid from the pericardial sac. | | | Include vital signs and frequent physical assessments, medications given, the location of the needle puncture, amount of the initial aspirate, and details about drainage, as well as any unexpected findings. | | | The echo will also allow direct visualization of the heart and pericardium, as well as adjacent organs, and can help guide needle placement during pericardiocentesis. |
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http://globalrph.mediwire.com/main/Content.aspx?ArticleID=153932
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| | eMedicine - Pericardiocentesis : Article by Kishorkumar Desai, MD |
| | CT-guided pericardiocentesis is a new approach that is indicated specifically for patients in whom ultrasound-guided or radiograph-guided pericardiocentesis is unsuccessful. | | | A surgical approach not only is preferable, but is the treatment of choice for recurrent or chronic pericardial effusions. | | | Surgical Care: A surgical approach not only is preferable, but is the treatment of choice for recurrent or chronic pericardial effusions. |
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http://www.emedicine.com/med/topic3560.htm
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| | Pericardiocentesis |
| | Electrocardiographic (ECG) leads may be attached by a clip to the needle to help with proper needle positioning. | | | A pericardiocentesis needle will then be introduced and guided into the pericardial sac. | | | Surgical pericardiocentesis may be necessary in difficult cases. |
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http://adam.about.com/encyclopedia/003872.htm
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| | Needle pericardiocentesis - the ATLS way |
| | 09/03/2001 -0500, you wrote:
Your support for needle pericardiocentesis is much greater than mine and your
indications for pericardiocentesis are far exaggerated.andnbsp;andnbsp; In short, I totally
agree with you that it has virtually NO use, is dangerous, and should be
taken off the ATLS and ACLS courses. | | | Previous message: Needle pericardiocentesis - the ATLS way | | | 09/03/2001 -0500, you wrote: >Your support for needle pericardiocentesis is much greater than mine and your >indications for pericardiocentesis are far exaggerated. |
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http://list.ftech.net/pipermail/trauma-list/2001/009910.html
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| | Clinical and Echocardiographic Characteristics of Significant Pericardial Effusions Following Cardiothoracic Surgery ... |
| | surgical evacuation of hematoma was necessary after pericardiocentesis. | | | Clinical and Echocardiographic Characteristics of Significant Pericardial Effusions Following Cardiothoracic Surgery and Outcomes of Echo-Guided Pericardiocentesis for Management: Mayo Clinic Experience, 1979-1998 -- Tsang et al. | | | Clinical and Echocardiographic Characteristics of Significant Pericardial Effusions Following Cardiothoracic Surgery and Outcomes of Echo-Guided Pericardiocentesis for Management |
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http://www.chestjournal.org/cgi/content/full/116/2/322
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| | Follow-Up |
| | Pericardiocentesis was performed at the initial visit to relieve signs referable to chronic cardiac tamponade. | | | Notice that the complexes are larger, the electrical alternans is gone, and the heart rate is slower with a sinus arrhythmia. | | | Here is the ECG immediately after the pericardiocentesis. |
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http://www.vmth.ucdavis.edu/cardio/cases/case24/follow-up.htm
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| | Care of Patients With an Indwelling Pericardial Catheter |
| | The person performing the procedure should wear a sterile gown and gloves and a mask, and a large sterile drape should be used. | | | Pericardial effusions can be managed nonsurgically or surgically. | | | Pericardiocentesis is an effective initial treatment for an effusion, but nearly 50% of patients have recurrence of effusion. |
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http://www.aacn.org/AACN/jrnlccn.nsf/GetArticle/CoverTitle185?OpenDocument
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| | Pericardiocentesis |
| | Pericardiocentesis is a surgical procedure performed to relieve fluid buildup between the heart and the pericardium. | | | This condition (cardiac tamponade) interferes with the heart's ability to pump blood. | | | Accepted for publication in Medical Image Computing and Computer-Assisted Intervention (MICCAI), 2001. |
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http://www.simcen.org/surgery/projects/pokeman/index.html
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| | Evaluation and Management of Blunt Cardiac Injury: Virtual Hospital |
| | The needle is then replaced with a soft, multi-hole pigtail catheter (No. 6 to 8 Fr) through the use of a guide wire. | | | Aspiration of as little as 5 to 10 ml of blood may result in dramatic clinical improvement. | | | Emergent thoracotomy is indicated when the patient does not respond to pericardiocentesis and has rapidly deteriorating vital signs or cardiac arrest. |
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http://www.vh.org/adult/provider/surgery/bluntcardiacinjury/withrupture/management.html
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| | New Page 1 |
| | To assess the incidence of a specific etiology and the role of methods for specific etiologic diagnosis in patients with primary acute pericarditis, we studied 100 patients with primary acute pericarditis consecutively admitted to our hospital between 1991 and 1993. | | | Only one patient underwent pericardiocentesis for tuberculous pericarditis. | | | Results of pericardiocentesis performed in 64 patients were positive in 58, with hemopericardium in 57 (98%). |
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http://www.spcweb.org/documenti/pericarditi.htm
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| | peric |
| | When performing pericardiocentesis, it is advisable to sedate the dog to allow full recovery of the effusion. | | | Cardiac medications play no role in the treatment of this condition. | | | The only effective treatment is to remove the effusion with a catheter, a procedure termed pericardiocentesis. |
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http://www.gsdhelpline.freeserve.co.uk/peric.htm
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| | Pattern of Pericardial Disease in the Asir Region of Saudi Arabia |
| | The patients who had pericardiocentesis also had left thoracotomy, with the performance of pericardial window and pericardial biopsy. | | | Pericardiocentesis identified four patients of tuberculous pericarditis and three patients of pyogenic pericarditis. | | | Pericardiocentesis and pericardial biopsy were performed in 15 (33%) patients. |
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http://www.kfshrc.edu.sa/annals/192/98-166.html
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| | Pericardiocentesis (Pericardial Tap) |
| | All medical information needs to be carefully reviewed with your health care provider. | | | DISCLAIMER: NOAH is an information guide only and cannot answer personal health-related or research questions. | | | NOAH > Heart and Blood > Heart Disease > Care and Treatment > Specific Procedures > Pericardiocentesis (Pericardial Tap) |
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http://www.noah-health.org/en/blood/disease/care/procedures/pericardiocentesis.html
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| | Pericardiocentesis |
| | Pericardiocentesis is used in the acute setting to relieve cardiac compression due to cardiac tamponade. | | | Complications of pericardiocentesis include cardiac puncture, laceration of a coronary artery, air emboli, cardiac arrhythmias, hemothorax, pneumothorax and infection. | | | Although rarely required, this procedure is indicated if a cardiac tamponade increases intracardial pressures, reduces ventricular diastolic filling, or decreases cardiac output or stroke volume. |
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http://www.meddean.luc.edu/lumen/Meded/Procedures/pericardiocentesis_technique.htm
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| | p990113b - Pericardial Effusion, Pericardiocentesis |
| | Abstract: PURPOSE: To assess whether drainage of pericardial effusion by pericardiocentesis or surgery is justified as a routine measure in the initial management of patients with large pericardial effusion without tamponade or suspected purulent pericarditis. | | | Question: What is the utility of pericardiocentesis and analysis of pericardial fluid, in the diagnosis and treatment of pericardial effusion? | | | Title: Should pericardial drainage be performed routinely in patients who have a large pericardial effusion without tamponade?. |
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http://www.emory.edu/WHSCL/grady/amreport/litsrch98/p990113b.html
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| | Pericardiocentesis -- eCureMe.com |
| | An electrocardiographic lead is attached to pericardiocentesis needle. | | | To determine the cause of and appropriate therapy for acute | | | After skin preparation and infiltration of local anesthetic, 1% lidocaine without epinephrine |
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http://www.ecureme.com/emyhealth/data/Pericardiocentesis.asp
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| | Case 2004-OR-02 TFE00 'Pericardiocentesis' - OR procedure or not |
| | The change is so small that it does not affect the grouping. | | | Case 2004-OR-02 TFE00 'Pericardiocentesis' - OR procedure or not | | | TFE00 'Pericardiocentesis' is classified as a minor procedure but it indicates a very sick and expensive patient. |
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http://www.nordclass.uu.se/verksam/norddrgforum/HTML/case2004or02.htm
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| | Procedure: Pericardiocentesis |
| | Find a Cleveland Clinic Heart Center doctor who performs this procedure | | | Please ask your doctor if you have any questions about pericardiocentesis. |
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http://www.clevelandclinic.org/heartcenter/pub/guide/tests/procedures/pericardiocentisis.htm
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| | Cancer Spectrum: Medline Abstract |
| | Pericardiocentesis for symptomatic malignant pericardial effusion: a study of 36 patients. | | | Pericardiocentesis was successful as the initial management in 34 of 36 patients (94%); one patient died as a result of the procedure and another required subxiphoid incision and tube drainage of the effusion. | | | In spite of this, the median survival of such patients is poor, especially in patients with malignancies other than breast cancer, with few patients surviving more than a few months. |
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http://jncicancerspectrum.oxfordjournals.org/cgi/medline/pmid;1701847
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| | Pericardiocentesis Vs Pericardial Window in Tamponade |
| | Aptly termed a needle with a clot at each end. | | | --part1_19f.c6d3541.2b178290_boundary Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit In a message dated 11/27/2002 6:49:29 PM Eastern Standard Time, rowley@rowleys-host.compulink.co.uk writes: > Pericardiocentesis. | | | Previous message: Pericardiocentesis Vs Pericardial Window in Tamponade |
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http://list.ftech.net/pipermail/trauma-list/2002-November/015997.html
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| | Acta Cardiologica - Abstract, vol.59 - nr. 2/04 - 2004 |
| | Group A consisted of 16 patients and group B of 14 patients. | | | Conclusions — TIC can be safely used in patients with pericardial effusion. | | | Keywords: impedance cardiography – cardiac tamponade – pericardiocentesis. |
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http://www.actacardiologica.be/abstracts/abs5902200404.htm
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| | Malignant pericardial effusion |
| | The decision to treat a patient is more often based on physiologic issues and symptoms rather than on the size or appearance of an effusion. | | | Pericardiocentesis by catheter insertion and sclerosis: After confirmation of a moderate to large pericardial effusion, the patient should be taken to a cardiac care unit. | | | An emergency pericardiocentesis is necessary for patients with tamponade to relieve the increased end diastolic pressure and inadequate ventricular filling. |
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http://www.med.muni.cz/monkin/nador11/pericard.htm
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| | Pericardial effusion in patients with cancer: outcome with contemporary management strategies |
| | In patients with symptoms or clinical cardiac tamponade, pericardiocentesis provides relief of symptoms but does not improve survival and has a high recurrence rate. | | | Pericardial tamponade requiring repeat pericardiocentesis occurred in 18 (62%) of 29 patients after a median of 7 days. | | | In contrast, only four (20%) of 20 patients in the conservative group progressed to frank clinical tamponade and required pericardiocentesis (P = 0.005 v invasive group). |
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http://www.meb.uni-bonn.de/cgi-bin/mycite?ExtRef=MEDL/96229881
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| | LifeFlight |
| | Also, describe the signs and symptoms of cardiac tamponade, and the procedure of a pericardiocentesis. | | | SUPPORTIVE DATA: Traumatic tamponade is the most acutely life-threatening form of tamponade. | | | PURPOSE: To describe the patient population in which cardiac tamponade may occur. |
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http://www.mc.vanderbilt.edu/lifeflight/web/protocol/3i.htm
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| | August issue.indd |
| | Chylopericardium complicating pericardiocentesis for acute idiopathic pericardial effusion. | | | The patient was discharged and readmitted six weeks later with recurrence of the effusion necessitating repeat pericardiocentesis. | | | It may also occur as a result of chest trauma, mediastinal neoplasms, following mediastinal radiotherapy and thrombosis of the subclavian vein in Behcets syndrome or following catheterisation of the subclavian vein. |
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http://www.rcsed.ac.uk/journal/svol1_4/10400007.html
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| | Pericardial Tap |
| | Chest pain or symptoms of a heart attack. | | | A pericardial tap (pericardiocentesis) is done to determine the cause of fluid buildup around the heart and to relieve pressure on the heart. | | | The excess fluid removed during the pericardial tap will be sent to a laboratory for analysis. |
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http://my.webmd.com/hw/heart_disease/hw233131.asp
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| | WHF-Council on Cardiomyopathies: pericardial disease |
| | Pericardiocentesis, drainage of pericardial fluid, instillation of Cisplatin for 24 h.Further medication starting on day 2: Individualized treatment of the primary tumor. | | | The Task Force on Pericardial Disease, has been a joint venture since November 1997 of council members and individuals particularly active in the field of pericardial diseases world wide to set up treatment protocols for patients with pericardial effusion. | | | Freedom or reduction of symptoms associated with pericarditis over 1 year (quality of life assessment) |
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http://www.uni-marburg.de/herzzentrum/isfc18.htm
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| | Atrial natriuretic peptide release responds to atrial stretch and not to atrial pressure: observations during ... |
| | The effect of pericardiocentesis on the plasma concentration of atrial natriuretic peptide was studied in a patient with cardiac tamponade. | | | Plasma atrial natriuretic peptide concentrations rose sharply from 42 pmol l-1 to a maximum of 150 pmol l-1 with a corresponding fall in mean right atrial pressure from 20 mmHg to 6 mmHg. | | | Atrial natriuretic peptide release responds to atrial stretch and not to atrial pressure: observations during pericardiocentesis in a young woman -- Ong et al. |
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http://www.eurheartj.org/cgi/content/abstract/11/4/368
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