Key result
Subxiphoid diagnostic pericardiotomy identifies occult cardiac injury in ~24% of stable penetrating trauma patients.
Why the study?
Early identification and treatment of occult cardiac injuries in stable patients with juxta-cardiac penetrating wounds is critical, but clinical signs may be absent, necessitating accurate diagnostic methods.
Does subxiphoid diagnostic pericardiotomy accurately identify occult cardiac injuries in stable patients with juxta-cardiac penetrating wounds?
Comparison
Subxiphoid diagnostic pericardiotomy to identify occult cardiac injuries
Design
Observational case series
Follow-up
Until hospital discharge
Authors
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May support subxiphoid windows for occult injury detection in stable trauma; leaves open role versus modern echocardiography.
Observational (n=51)
Does subxiphoid diagnostic pericardiotomy accurately identify occult cardiac injuries in stable patients with juxta-cardiac penetrating wounds?
Subxiphoid diagnostic pericardiotomy is a safe and accurate method for identifying occult cardiac injuries in stable patients with penetrating juxta-cardiac wounds, allowing for early surgical treatment.
DUNCAN et al. (1989) conducted an observational in Juxta-cardiac penetrating injuries (n=51). Subxiphoid diagnostic pericardiotomy was evaluated on Hemopericardium and confirmed cardiac injury. Subxiphoid diagnostic pericardiotomy identified occult cardiac injuries in 23.5% of stable patients with juxta-cardiac penetrating wounds, with no complications reported.
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