February 26, 1982JAMA

Management of Acute Cardiac Tamponade by Subxiphoid Pericardiotomy

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Why the study?

Does subxiphoid pericardiotomy under local anesthesia safely and effectively relieve acute cardiac tamponade?

Population

18 patients with acute cardiac tamponade of diverse causes.

Design

Case_series

Follow-up

Drainage period averaged 9.6 days (range, 3 to 28 days)

Authors

KAKarl E. AlcanMemorial Sloan Kettering Cancer Center

Discussion

Member takes

Implication

Should not yet change practice; leaves open need for prospective trials to assess generalizability.

Structured PICO

Does subxiphoid pericardiotomy under local anesthesia safely and effectively relieve acute cardiac tamponade?

Population

18 patients with acute cardiac tamponade of diverse causes (uremic pericarditis [n=9], metastatic cancer [n=5], trauma [n=2], tuberculosis [n=1], and unknown cause [n=1]).

Intervention

Subxiphoid pericardiotomy performed under local anesthesia, with pericardial drainage and optional pericardial biopsy.

Outcome

Immediate relief from acute cardiac tamponade.hard clinical

Subxiphoid pericardiotomy under local anesthesia is a safe and highly effective method for managing acute cardiac tamponade of diverse etiologies, offering immediate relief with zero procedural mortality.

Cite This Study

Karl E. Alcan (1982) studied this question.

synapsesocial.com/papers/6a206640e41fe89b4c9cd769 https://doi.org/10.1001/jama.1982.03320330039023

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Management of Acute Cardiac Tamponade by Subxiphoid Pericardiotomy

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Management of Acute Cardiac Tamponade by Subxiphoid Pericardiotomy

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider