Key result
Point-of-care ultrasound successfully identified pericardial and pleural effusions, expediting the diagnosis of postpericardiotomy syndrome and impending tamponade in a child.
Case Report (n=1)
Point-of-care ultrasound can rapidly identify postpericardiotomy syndrome and impending tamponade in pediatric patients presenting with atypical symptoms such as abdominal pain after cardiac surgery.
May support POCUS for rapid pediatric post-cardiac surgery assessment; leaves open need for prospective validation.
We report a case of a patient presenting with abdominal pain after cardiac surgery who was noted on point-of-care ultrasound (POCUS) to have pericardial and pleural effusion, in addition to ascites. The most notable findings were pleural and pericardial effusions, which combined with symptomatology met criteria for postpericardiotomy syndrome. Point-of-care ultrasound expedited the diagnosis of a pericardial effusion with impending tamponade and transfer for pericardiocentesis and placement of pericardial drain.
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Miller et al. (2017) conducted a case report in Postpericardiotomy Syndrome (n=1). Point-of-care ultrasound (POCUS) was evaluated on Diagnosis of pericardial effusion with impending tamponade. Point-of-care ultrasound successfully identified pericardial and pleural effusions, expediting the diagnosis of postpericardiotomy syndrome and impending tamponade in a child.
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