Ultrasound-guided pericardiocentesis: a novel parasternal approach

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Adi OsmanGuido Tavazzi

Abstract

The aim of this study was to evaluate a novel pericardiocentesis technique using an in-plane parasternal medial-to-lateral approach with the use of a high-frequency probe in patients with cardiac tamponade. Echocardiography is pivotal in the diagnosis of pericardial effusion and tamponade physiology. Ultrasound guidance for pericardiocentesis is currently considered the standard of care. Several approaches have been described recently, which differ mainly on the site of puncture (subxiphoid, apical, or parasternal). Although they share the use of low-frequency probes, there is absence of complete control of needle trajectory and real-time needle visualization. An in-plane and real-time technique has only been described anecdotally. A retrospective analysis of 11 patients (63% men, mean age: 37.7±21.2 years) presenting with cardiac tamponade admitted to the tertiary-care emergency department and treated with parasternal medial-to-lateral in-plane pericardiocentesis was carried out. The underlying causes of cardiac tamponade were different among the population. All the pericardiocentesis were successfully performed in the emergency department, without complications, relieving the hemodynamic instability. The mean time taken to pe...Continue Reading

References

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Citations

Jan 13, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T Jared McCormickViren N Naik
Nov 12, 2019·British Journal of Hospital Medicine·Eugene S Henry, Asoka Weerasinghe
Nov 12, 2019·British Journal of Hospital Medicine·Louise DervanBryan Renton
Nov 5, 2020·Journal of the American College of Emergency Physicians Open·Suhaib AsedCalvin Yang
Jan 31, 2021·The American Journal of Emergency Medicine·Osman AdiNova Panebianco
Jun 19, 2021·World Journal of Emergency Medicine·Lori StolzSrikar Adhikari
Jul 4, 2021·Emergency Medicine Clinics of North America·Ashkon Shaahinfar, Zahra M Ghazi-Askar
Sep 11, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Aaron E RobinsonNicholas S Simpson

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