1887

Pericardiocentesis

image of Pericardiocentesis
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Abstract

This procedure is indicated in relief of pericardial tamponade and to obtain a sample of pericardial fluid for diagnostic evaluation.

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Figures

Image of Figure P.1:
Figure P.1: A small stab incision should be made in the skin.
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Figure P.2: The cannula and needle should be inserted through the stab incision.
Image of Figure P.3:
Figure P.3: A narrow-gauge sterile urinary catheter can be used to drain fluid from the pericardial sac
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Figure P.4: The catheter introducer should be inserted through the skin incision.
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Figure P.5: The guidewire should be thread through the introducer catheter into the pericardium.
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Figure P.6: The guidewire should be held as it is advanced into the pericardium.
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Figure P.7: The introducer catheter is removed leaving the guidewire in place.
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Figure P.8: The catheter should be introduced and advanced into the pericardium over the guidewire. The catheter in place.
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Figure P.9: The guidewire should be removed and the catheter left in place.
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Figure P.10: The guidewire should be threaded through the needle into the pericardium. The guidewire must be held at all times. (Courtesy of Luca Ferasin)
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Figure P.11: The needle should be removed and the guidewire left in place. (Courtesy of Luca Ferasin)
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Figure P.12: The catheter should be threaded over the guidewire. (Courtesy of Luca Ferasin)
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Figure P.13: The guidewire should be removed and the catheter left in place. (Courtesy of Luca Ferasin)
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Figure P.14: A closed drainage system should be created by attaching a 3-way tap, extension tubing and syringe.
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Figure P.15: The fluid collected should be placed into a measuring container.
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