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Doctor insights on: Precautions Pericardiocentesis

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Dr. Francis Uricchio Dr. Uricchio
Internal Medicine - Cardiology
34 years in practice
Tufts University School of Medicine
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What are the precautions taken with pericardiocentesis?

What are the precautions taken with pericardiocentesis?

Various Pecautions: Pericardiocentesis is done in a cardiac catheterization laboratory under sterile conditions with high-quality x-ray equipment. Before performing the procedure, the cardiac ultrasound will indicate whether the fluid collection is accessible to the cardiologist by way of a catheter. Telemetry is monitored and contrast is periodically injected to assure that the heart is not perforated. ...Read more

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Dr. Dawn Jaroszewski
99 doctors shared insights

Pericardiocentesis (Definition)

Pericardiocentesis refers to placing a needle into the sac surrounding the heart (pericardium) and withdrawing fluid which can be for diagnosis or treatment. This is often done using ultrasound to ...Read more


Dr. Shahin Tavackoli Dr. Tavackoli
Internal Medicine - Cardiology
19 years in practice
University of Texas Medical Branch School of Medicine
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What occurs during a pericardiocentesis?

What occurs during a pericardiocentesis?

See below: Typically, an imaging modality, commonly echocardiography, is used to image the heart and the pericardial space. After local anesthesia is given, a long needle is inserted under the guidance of the echo to the pericardial space and the fluid will be withdrawn with a syringe. Typically, a plastic tube will then be inserted and left in place to drain into a bag for a few days. ...Read more

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Dr. Nassir Azimi Dr. Azimi
Clinical Lipidology
19 years in practice
Dartmouth Medical School
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How are patients prepared for pericardiocentesis?

How are patients prepared for pericardiocentesis?

Sterile prep: The patient is made as comfortable as possible, then the area below the breast bone is anesthetized with Lidocaine and then a needle is delivered in the pericardial space. ...Read more

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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Does a patient has to be npo prior to pericardiocentesis?

Does a patient has to be npo prior to pericardiocentesis?

Generally yes: Patient likely to be lying on back, so aspiration is a risk, if stomach full. A sip with medications has low risk, so absolute npo is a decision point by surgeon or team. ...Read more

Dr. Mark Milunski Dr. Milunski
Internal Medicine - Cardiology
33 years in practice
Albany Medical College
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What are the risks of having a pericardiocentesis performed?

What are the risks of having a pericardiocentesis performed?

Pericardiocentesis: Probably the 2 major risks of a pericardiocentesis are puncture or laceration of the right ventricle of the heart causing bleeding or heart rhythm disturbances. ...Read more

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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What does pericardiocentesis show?

What does pericardiocentesis show?

Fluid: The pericardium is the sac around the heart. It has a small amount of normal clear fluid. If there is more fluid, then one needs to find the cause. Blood heart failure renal failure pus can be identified with the "centesis" is drawing the sample of fluid. ...Read more

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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When is pericardiocentesis performed?

When is pericardiocentesis performed?

For excessive fluid: The surgeon or cardiologist may do this with local or additional anesthesia depending on the issue. Fluoroscopy, ultrasound, or ct can be used to help guide the needle and / or/ catheter introduction through the skin, soft tissue, pericardium to get to the fluid or blood identified on the original test-echo. The goal is to relieve tamponade and make a diagnosis. ...Read more

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Dr. Kevin Lingle Dr. Lingle
Internal Medicine - Cardiology
11 years in practice
University of North Carolina School of Medicine
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Can someone drive after pericardiocentesis?

Can someone drive after pericardiocentesis?

Yes: One cannot drive immediately after a pericardiocentesis; however after the sedative medications wear off, usually the next day, it is ok to drive. It is recommended to refer to the recommendations of the physician preforming the pericardiocentesis and the cause of the pericardial effusion leading to pericardiocentesis. ...Read more

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Dr. William Scott Dr. Scott
Pediatrics - Cardiology
35 years in practice
Indiana University School of Medicine
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How is pericardiocentesis typically performed?

How is pericardiocentesis typically performed?

With a needle.: A needle is introduced into the chest and through the pericardium ( the sac around the heart) into the pericardial space (between the pericardium and the heart) where excess fluid has accumulated. A flexible wire is advanced through the needle into the pericardial space and the needle is withdrawn. A flexible drain tube is advanced over the wire and the wire removed. The fluid is then drained. ...Read more

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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What are normal results for pericardiocentesis?

Not needed: If there is a need for pericardiocentesis, something is abnormal. Either increased volume, blood, pus, cancer cells. Etc. ...Read more

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Dr. Mark Stern Dr. Stern
Internal Medicine - Cardiology
42 years in practice
Mount Sinai School of Medicine
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Where in the body is a pericardiocentesis conducted?

Where in the body is a pericardiocentesis conducted?

Bottom of sternum: Just below the bottom of the sternum a needle is inserted and aimed at the right shoulder.Then it is slowly advanced until fluid can be withdrawn. ...Read more

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Dr. Andrew Kaplan Dr. Kaplan
Internal Medicine - Cardiology
30 years in practice
University of Texas Southwestern Medical School at Dallas
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What are care instructions after a pericardiocentesis?

What are care instructions after a pericardiocentesis?

Limited activity: One should not do any strenuous activity or heavy lifting for a few days. Otherwise, there is mild expected soreness. ...Read more

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Dr. Robert Binford Dr. Binford
Surgery - Thoracic
34 years in practice
University of Texas Southwestern Medical School at Dallas
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What is the definition or description of: pericardiocentesis?

What is the definition or description of: pericardiocentesis?

Remove fluid: Pericardiocentesis refers to placing a needle into the sac surrounding the heart (pericardium) and withdrawing fluid which can be for diagnosis or treatment. This is often done using ultrasound to help guide the needle. ...Read more

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Dr. Mark Rasak Dr. Rasak
Internal Medicine - Cardiology
29 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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What are reasons for possible abnormal results of a pericardiocentesis?

What are reasons for possible abnormal results of a pericardiocentesis?

Varies: Pericardiocentesis is a technique where a sample of pericardial fluid is removed from the sack around the heart. The fluid can be abnormal if its an infection with bacteria or fungi . Cultures would be performed to asses this. If the examination of the cells are abnormal cancer may be the cause. Other causes of autoimmune diseases can be found as well. ...Read more

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Dr. Howard Rubin Dr. Rubin
Internal Medicine - Cardiology
43 years in practice
University of Texas Medical Branch School of Medicine
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What are the most common conditions that are treated by pericardiocentesis?

What are the most common conditions that are treated by pericardiocentesis?

Pericarditis: Pweicardiocentesis is utilized for removing fluid in the pericardial sac when the fluid is pressing on the heart and restricting flow. The fluid is analyzed to find the cause thus future treatment of the fluid. ...Read more

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Dr. Louis Grenzer Dr. Grenzer
Internal Medicine - Cardiology
51 years in practice
University of Maryland School of Medicine
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After a pericardiocentesis what are signs of complications that require immediate medical attention?

After a pericardiocentesis what are signs of complications that require immediate medical attention?

Multiple: Changes in the patients symptoms such as passing out, shortness of breath, or weakness. The development of a rapid pulse or of a low blood pressure. A drop in the hemoglobin and hematocrit. The development of significant problems with the heart rhythm. ...Read more

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Dr. Mark Stern Dr. Stern
Internal Medicine - Cardiology
42 years in practice
Mount Sinai School of Medicine
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Is a pericardiocentesis done by ultrasound?

Is a pericardiocentesis done by ultrasound?

It's done by needle: It's done with a needle. Echocardiography is done before and after to see the fluid in the pericardial sack, so i guess you could call it ultrasound guided. ...Read more

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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Why can pericardiocentesis be used to diagnose pericarditis?

Why can pericardiocentesis be used to diagnose pericarditis?

Examine fluid: The fluid identified on echo is aspirated( that is the pericardiocentesis) it is examined for blood, infection, cellular contents malignant cells tuberculosis bacteria, fungus or other causative agents can be identified or grown in cultures. ...Read more

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Dr. Andrew Kaplan Dr. Kaplan
Internal Medicine - Cardiology
30 years in practice
University of Texas Southwestern Medical School at Dallas
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What are the dietary restrictions prior to pericardiocentesis?

No eating/drinking: Typically patients are held npo (without food or drink) for 4-6 hours prior to the procedure. ...Read more

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Dr. Martin Bress Dr. Bress
Internal Medicine
46 years in practice
Boston University School of Medicine
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What if the heart is poked during the procedure pericardiocentesis?

What if the heart is poked during the procedure pericardiocentesis?

See below: During pericardiocentesis the exploring needle is connected to an electrode which helps monitor the position of the needle. If the heart muscle is touched it can be immediately repositioned. ...Read more

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