Key result
Echocardiography-guided pericardiocentesis with right heart catheter control is often the method of choice for the acute removal of fluid in patients with cardiac tamponade.
Population
Patients with acute cardiac tamponade
Design
Review
Authors
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Supports echo-guided pericardiocentesis with RHC control as initial tamponade management; leaves open prospective trials on drainage rates to avoid complications.
This review highlights that echocardiography-guided pericardiocentesis is the preferred initial management for acute cardiac tamponade, while cautioning against rapid large-volume drainage to prevent decompressive pulmonary edema.
Donald R. Collins (2004) conducted a review in Acute cardiac tamponade. Pericardiocentesis and thoracotomy was evaluated. Echocardiography-guided pericardiocentesis with right heart catheter control is often the method of choice for the acute removal of fluid in patients with cardiac tamponade.
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