Key result
Bedside ultrasound rapidly identifies malignant pericardial effusion to expedite lifesaving pericardiocentesis.
Case Report (n=1)
Bedside ultrasonography is a crucial tool in the emergency department for the rapid detection of pericardial effusions, potentially decreasing time to intervention.
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May prompt effusion evaluation in stable edema/oliguria; leaves open drainage thresholds for nonrandomized cases.
Pericardial effusion occurs when there is approximately 150-200 cubic centimeters (cc) of fluid in the pericardium.It can be a manifestation of disease processes such as pericarditis, cancer, trauma, or aortic dissection.Management of pericardial effusion is dependent on whether there is hemodynamic instability.Here, we present a case of a 63-year-old man who presented with a progressively worsening bilateral lower extremity edema and oliguria for two weeks and was found to have a very large circumferential pericardial effusion via bedside ultrasonography.This case highlights the importance of bedside ultrasonography in detecting and decreasing time to intervention in pericardial effusions with hemodynamic instability.
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Javad Najjar Mojarrab (2021) conducted a case report in Pericardial effusion secondary to Non-Small Cell Lung Cancer (n=1). Bedside ultrasound (Point-of-Care Ultrasound) was evaluated on Diagnosis of pericardial effusion. Point-of-care bedside ultrasound rapidly identified a large malignant pericardial effusion with hemodynamic compromise, expediting lifesaving pericardiocentesis.
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