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Doctor insights on: Restrictions Pericardiocentesis

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What are the dietary restrictions prior to pericardiocentesis?

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. Dawn Jaroszewski
97 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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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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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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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

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What are the risks of having a pericardiocentesis performed?

What are the risks of having a pericardiocentesis performed?

Many: Laceration of a coronary artery. Perforation of the ventricle. Laceration or puncture of a great vessel. Pneumothorax. Hemorrhage of a non-compressible vessel. Infection. Arrhythmia. Any one of the above can easily result in death. Don't try this at home. Done by an expert, it's very safe. ...Read more

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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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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 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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Can someone drive after pericardiocentesis?

Can someone drive after pericardiocentesis?

Yes : I assume that you are asking if you can drive after being discharged from hospital and you have been home for few days. If it is completely drained and there is no recurrence and you have no symptoms then you should be able to drive. If your question is whether you can drive yourself home after the procedure, then probably not as they usually give you some kind of sedation during the procedure. ...Read more

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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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