Key result
Current approaches to the diagnosis and treatment of cardiac tamponade emphasize echocardiography for diagnosis and pericardiocentesis or surgical drainage for decompression.
Why the study?
The study explored the decision-making process in the diagnosis and treatment of pericardial decompression in pericardial effusion to support clinicians in assessing high-risk patients and choosing between pericardiocentesis and open surgical drainage.
This systematic review outlines current diagnostic modalities and the decision-making process between pericardiocentesis and open surgical drainage for managing cardiac tamponade.
Informs urgent choice between pericardiocentesis and surgical drainage in tamponade; extends systematic evidence synthesis for diagnosis and treatment.
Highlights. Current and emerging approaches in diagnosis and treatment strategies in cardiac tamponade are discussed. Particular attention is focused on the choice between pericardiocentesis or open surgical drainage as live-saving approaches to treat pericardial effusion in patients with urgent conditions. The article provides a systematic review of the literature on current and emerging approaches in the diagnosis and treatment of cardiac tamponade. We explored the decision-making process in diagnosis and treatment of pericardial decompression in pericardial effusion to provide clinicians with additional support in the assessment of high-risk patients requiring immediate intervention and those patients who should be transferred to specialized clinics and/or can be safely delayed for pericardiocentesis. The complex issues of choosing between pericardiocentesis or open surgical drainage of pericardial effusion to save the lives of patients with urgent conditions are considered. In addition, the practical aspects of manipulations and technologies for monitoring their implementation are highlighted.
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Евтушенко et al. (2021) conducted a review in Cardiac tamponade. Diagnosis and treatment strategies was evaluated. Current approaches to the diagnosis and treatment of cardiac tamponade emphasize echocardiography for diagnosis and pericardiocentesis or surgical drainage for decompression.
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