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No eating/drinking: Typically patients are held npo (without food or drink) for 4-6 hours prior to the procedure.See 1 more doctor answer
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.See 1 more doctor answer
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.
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.See 1 more doctor answer
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is given, a long needle is inserted under the guidance of the echo to the pericardial space and the fluid will be withdrawn with a syringe.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.See 1 more doctor answer
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.See 1 more doctor answer
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 A flexible wire is advanced through the needle into the pericardial space and the needle is withdrawn.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.See 1 more doctor answer
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.See 1 more doctor answer
Limited activity: One should not do any strenuous activity or heavy lifting for a few days. Otherwise, there is mild expected soreness.See 1 more doctor answer
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.See 1 more doctor answer
After a pericardiocentesis what are signs of complications that require immediate medical attention?
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- What are the dietary restrictions prior to pericardiocentesis?
- Precautions pericardiocentesis
- Where in the body is a pericardiocentesis conducted
- Ultrasound guided pericardiocentesis
- What are the risks of having a pericardiocentesis performed?
- What if the heart is poked during the procedure pericardiocentesis?
- What are reasons for possible abnormal results of a pericardiocentesis?
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