PMID: 3746957Sep 1, 1986Paper

Pericardial tamponade: a critical determinant for survival following penetrating cardiac wounds

The Journal of Trauma
C MorenoA R Hopeman

Abstract

Previous studies have emphasized injury mechanism, wound site, and presenting vital signs as critical determinants for survival following penetrating cardiac injury. Our experience suggests pericardial tamponade is another crucial factor and is the basis for this study. Prognostic features were reviewed in 100 consecutive, unselected patients with acute cardiac injuries. Mechanism was stab wound in 57, and gunshot injury in 43. Location included right ventricle in 55, left ventricle in 49, right atrium in 16, and left atrium in seven. Overall salvage was 31%,; 27 (47%) of 57 stab wounds, four (9%) of 43 gunshot wounds, 22 (49%) of 45 right, and nine (23%) of 39 left heart wounds. The presence or absence of pericardial tamponade was documented in 77 patients. Patients with tamponade had a survival of 73% (24/33) compared to 11% (5/44) in those without its protective effect. The presence of tamponade improved survival (p less than 0.05) following stab injuries (77% vs. 29%), gunshot wounds (57% vs. none), right heart wounds (79% vs. 28%), left heart injuries (71% vs. 12%), and overall in patients arriving with vital signs (96% vs. 50%). Multivariant discriminant analysis by logistic regression demonstrated cardiac tamponade was a...Continue Reading

Citations

Mar 17, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·S SugimotoT Hasegawa
Feb 16, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H SchelzigL Sunder-Plassmann
Mar 30, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A Stettbacher, D Doll
Aug 29, 2001·Injury·J A AsensioD Demetriades
Jul 25, 2003·The Journal of Thoracic and Cardiovascular Surgery·James B McClurkenBradford J Lin
Feb 4, 1998·Journal of the American College of Surgeons·J A AsensioT V Berne
Mar 7, 2000·Journal of the American College of Surgeons·P M RheeN Rich
Jan 12, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·E KarinY Kluger
Jul 4, 2006·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Maximilian FaschingbauerChristian Jürgens
Jun 9, 2006·World Journal of Emergency Surgery : WJES·C Clay Cothren, Ernest E Moore
Jul 13, 2006·Annals of the Royal College of Surgeons of England·J Winehouse
Jan 12, 2008·The Heart Surgery Forum·Celalettin GunayHarun Tatar
Nov 16, 2014·Der Unfallchirurg·J ŠkorpilJ Havelka
Jun 15, 2006·World Journal of Surgery·Elias DegiannisMartin D Smith
Jan 29, 2008·World Journal of Surgery·Mark J SeamonAmy J Goldberg
May 16, 2009·Injury·Nicholas KangPeter Alison
Nov 26, 2015·Journal of Forensic and Legal Medicine·Stine KristoffersenJon-Kenneth Heltne
Oct 10, 2006·Journal of Clinical Forensic Medicine·Anny SauvageauStéphanie Racette
May 1, 1991·The Annals of Thoracic Surgery·D M Follette
Apr 23, 2016·International Journal of Surgery·Gerd Daniel Pust, Nicholas Namias
Apr 13, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Christian DiezAlbert J Varon
Jul 26, 2008·Interactive Cardiovascular and Thoracic Surgery·Ezequiel J MolinaMark J Seamon
Apr 20, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R Rabinovici
Jan 28, 2017·Annals of Emergency Medicine·Sarah CuddyDarren Mylotte
May 9, 2002·The Annals of Thoracic Surgery·John BozinovskiSomeshewar Nakai
Jun 24, 1998·The Journal of Trauma·J A AsensioT V Berne
Feb 4, 1998·The British Journal of Surgery·N C CampbellJ B Botha
Aug 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·George C Velmahos, Muhammad U Butt
Apr 20, 2010·Journal of the Royal Army Medical Corps·J O'ConnorT Scalea
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Clay Cothren BurlewWalter L Biffl
Apr 20, 2017·The Journal of Trauma and Acute Care Surgery·Rashi JhunjhunwalaBryan C Morse
May 8, 2000·Journal of Thoracic Imaging·S D LeBlang, M O Dolich
Sep 26, 2013·The Journal of Trauma and Acute Care Surgery·Tim H LeeJohn B Kortbeek
Jan 24, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mehdi BamousMamoun Faroudy
Jul 9, 2016·The Journal of Trauma and Acute Care Surgery·Bryan C MorseDavid V Feliciano
Jun 16, 2017·World Journal of Emergency Surgery : WJES·Andres Isaza-RestrepoJosé Rafael Tovar
Jun 5, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J A AsensioA O Udekwu
Sep 1, 2012·Revista do Colégio Brasileiro de Cirurgiões·Cleinaldo de Almeida CostaThiago Litaiff Padilha
May 15, 2004·Prehospital and Disaster Medicine·Yasufumi AsaiJeffrey L Arnold
Aug 1, 1996·The Surgical Clinics of North America·J A AsensioM D Kerstein

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.