A pericardial effusion is an abnormal accumulation of fluid in the pericardial cavity. If it develops over a chronic period of time, the pericardium can dilate to accommodate the fluid. However, if it occurs acutely, rapid hemodynamic compromise ensues due to cardiac compression. Causes of pericardial effusion can be acute, subacute, or chronic. Indications for pericardiocentesis include therapeutic, diagnostic, or palliative. Informed consent should be obtained as there are several well-described risks. The procedure should be performed on telemetry, with appropriate intravenous access and supplemental oxygen, and under sterile precautions whenever possible. Ultrasound guidance is also recommended.
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Authors and Affiliations
Division of Trauma, Emergency Surgery and Surgical Critical Care, University of Southern California, Los Angeles, CA, USA
Meghan Lewis & Subarna Biswas
Division of Cardiovascular Medicine, University of Southern California, Los Angeles, CA, USA
David Shavelle
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- Meghan Lewis
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- Subarna Biswas
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- David Shavelle
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Correspondence to Meghan Lewis .
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Editors and Affiliations
Department of Surgery, University of Southern California, Los Angeles, CA, USA
Demetrios Demetriades
Department of Surgery, University of Southern California, Los Angeles, CA, USA
Dr. Kenji Inaba
Department of Anethesiology, University of Southern California, Los Angeles, CA, USA
Prof. Philip D. Lumb
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Lewis, M., Biswas, S., Shavelle, D. [2018]. Pericardiocentesis. In: Demetriades, D., Inaba, K., Lumb, P. [eds] Atlas of Critical Care Procedures . Springer, Cham. //doi.org/10.1007/978-3-319-78367-3_16