Doctor insights on:
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 moreSee 1 more doctor answer
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 moreSee 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 A flexible wire is advanced through the needle into the pericardial space and the needle is withdrawn.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. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 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. ...Read moreSee 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. ...Read moreSee 1 more doctor answer
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