Successful drainage of a traumatic haemopericardium with pericardiocentesis through an intercostal approach
- 8 December 2010
- journal article
- case report
- Published by Wiley in Emergency Medicine Australasia
- Vol. 22 (6), 565-567
- https://doi.org/10.1111/j.1742-6723.2010.01356.x
Abstract
A case of traumatic haemopericardium, sustained after blunt thoracic trauma, is described in a paediatric patient that was successfully drained by needle pericardiocentesis under 2D-echocardiographic guidance, via an intercostal approach, in the Children's Intensive Care Unit. The patient was haemodynamically unstable with obvious signs of cardiac tamponade. Drainage of the haemopericardium resulted in immediate improvement in haemodynamics. There was no re-accumulation of the haemopericardium. There were no complications as a result of the pericardiocentesis. No further surgical intervention was required.Keywords
This publication has 7 references indexed in Scilit:
- Advanced Trauma Life Support, 8th Edition, The Evidence for ChangeThe Journal of Trauma and Acute Care Surgery, 2008
- Emergency thoracotomy in thoracic trauma—a reviewInjury, 2006
- Definitive management of acute cardiac tamponade secondary to blunt traumaEmergency Medicine Australasia, 2005
- Guidelines on the Diagnosis and Management of Pericardial Diseases Executive SummaryThe Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of CardiologyEuropean Heart Journal, 2004
- Percutaneous Echocardiographically Guided Pericardiocentesis in Pediatric Patients: Evaluation of Safety and EfficacyJournal of the American Society of Echocardiography, 1998
- Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures: The Mayo Clinic experienceJournal of Invasive Cardiology, 1998
- Emergency Center Thoracotomy: Impact of Prehospital ResuscitationThe Journal of Trauma and Acute Care Surgery, 1992