Cardiac Tamponade and Pericardial Disease
Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:
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First Things First (assess for & treat the following):
- Is pt hemodynamically stable?
- Vital signs, including bilateral pulses, BP & pulsus paradoxus
- Pulse oximetry or ABG
- Consider invasive monitoring (PA catheter, arterial line) to help establish the diagnosis as well as direct therapy.
- Ensure adequate volume resuscitation.
- Does pt have pulmonary edema?
- If yes, then a pericardial etiology is unlikely.
- Does pt have a predisposing condition for tamponade or other pericardial disease?
- Recent cardiac surgery or trauma, neoplastic disease, recent viral infection or TB, uremia, history of mantle irradiation
- Consider aortic dissection causing tamponade.
- Consider acute MI & PE in any pt w/ chest pain.