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Doctor insights on: Precautions Pericardiocentesis

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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


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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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What safety precautions do laser eye surgeons take?

What safety precautions do laser eye surgeons take?

Careful use: Laser can be destructive so laser surgeons observe the area aimed at carefully and only apply the energy to the right spot. Observers if in the room can wear protective eyewear. The lasers are very precise and aiming is precise so damage from this treatment is rare. ...Read more

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What precautionary measures can IVF patients take?

What precautionary measures can IVF patients take?

Please help us: To help you: can you be a little more specific about what you are asking? Do you mean precautions during ivf? Leading into ivf? Once you are pregnant from ivf? ...Read more

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What are the risks for not having pericardiocentesis for pleural effusion?

What are the risks for not having pericardiocentesis for pleural effusion?

Depends: The main risk is if infection is present in the space between the lung and the chest wall (pleural effusion) or the heart and the lining of the heart (pericardial effusion). If the patient is having fever, chills or night sweats the fluid should be drained to exclude active disease/infection. ...Read more

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Universal precautions infection control website?

Universal precautions infection control website?

OSHA & CDC: http://www.osha.gov/sltc/etools/hospital/hazards/univprec/univ.html http://www.Cdc.Gov/niosh/topics/bbp/universal.Html.

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Accidental needle stick HIV pep (post-exposure prophylaxis)?

Accidental needle stick HIV pep (post-exposure prophylaxis)?

Yes: There are protocols for post-exposure prophylaxis. In fact truvada (emtricitabine and tenofovir) was just approved as a preventive prophylactic medication for those engaging in risky behavior. ...Read more

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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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Is blood transfusion required during bariatric surgery?

Is blood transfusion required during bariatric surgery?

Rarely: Though there may be circumstances where transfusion is indicated, the vast majority of patients who undergo laparoscopic bariatric surgery have very little blood loss and therefore do not need blood transfusion. ...Read more

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Should transesophageal echocardiography be performed in all patients before cardioversion?

Should transesophageal echocardiography be performed in all patients before cardioversion?

It depends.: If the patient has been on a blood thinner for at least 4 weeks then most of the time, it is not necessary. However if the patient is not on a blood thinner, then tee is recommended to detect clot(s) in the heart. ...Read more

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Any sspecific precautions to be taken for a diabetic patient before/during angiography?

Any sspecific precautions to be taken for a diabetic patient before/during angiography?

Angiography: Angiography dyes affect kidney function best to be well hydrated your md will use the lowest volume of due and check kidney function 48 hours if on metformin hold it on day of procedure. ...Read more

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Anesthesiology consultation required before C-section if heart disease?

Anesthesiology consultation required before C-section if heart disease?

Absolutely: If you have heart disease, it is essential that your anesthesiologist knows the details. Consultation allows us to get records and create a plan in advance. This could be difference between life and death, depending on nature of disease. Also may be necessary to go to another hospital with specialists if your disease is severe and the necessary resources are not available. ...Read more

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What precautions should be taken in prescribing an implantable cardioverter-defibrillator?

What precautions should be taken in prescribing an implantable cardioverter-defibrillator?

AICD: An aicd is recommended for very specific conditions and following very specific and well documented indications as published by professional societies (american college of cardiology, american heart association, european society of cardiology etc...) any prescription/recommendation has to follow these indications. ...Read more

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What precautions for pregnancy with sle+ cases?

What precautions for pregnancy with sle+ cases?

Pregnancy in SLE: So long as your ob/gyn is aware that you are high risk due to your sle, there is nothing special that needs to be done except to be healthy and happy. ...Read more

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What universal precautions should a nurse take to prep an injection?

What universal precautions should a nurse take to prep an injection?

Gloves: Unless you're dealing with notable trauma or some sort of airborne risk, this should be sufficient for your "typical" shot at doctor's. ...Read more

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In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

In  65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest  method for pericardial window?

Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more