POCUS-guided pericardiocentesis is an effective intervention for resolving cardiac tamponade and obstructive shock following penetrating chest trauma.
May support bedside POCUS for post-trauma tamponade; case report leaves open need for validation before practice change.
We present the case of a patient with a history of penetrating chest trauma, complicated by hemopneumothorax, resolved by pleurostomy tube. Subsequently, the patient progresses unfavorably with hemodynamic instability and is transferred to the Intensive Care Unit, where POCUS (Point of Care Ultrasound) ultrasonography is performed, showing significant pericardial effusion which is caused by cardiac tamponade, which causes a state of shock. obstructive type, so it was decided to perform ultrasonography-guided pericardiocentesis, showing a favorable evolution after the procedure.
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Hilari et al. (2024) studied this question.
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