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Old 01-23-2014
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Default tamponade

can anyone just explain to me what is the difference between pericardial effusion and pericardial tamponade?

and what si the first step in management for pateint coming to the hospital with tamponade , what is the best dx?
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Old 01-23-2014
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Quote:
Originally Posted by hydrocephalus View Post
can anyone just explain to me what is the difference between pericardial effusion and pericardial tamponade?

and what si the first step in management for pateint coming to the hospital with tamponade , what is the best dx?


Pericardial effusion is fluid accumulation in the pericardial space , it can be with or without tamponade. Normally fluids keeps accumulating and the cavity keeps stretching to accomodate that fluid without any symptoms and mild distant heart sounds.

But once it is stretched to the extent that it cannot accomodate any more fluid it results in tamponade with
* JVD
* Decrease CO
* Pulsus paradoxus
* Hypotension

You can see Electrical alternans on EKG and Enlarged heart on CXR
but the mostly Commonly done test is ECHO
Most accurate is Right heart Catheterization


Rx: Pericariocentesis and IV fluids (to maintain CO)
Never give diuretics it would cause very severe hypotention in them
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dr.Zh (01-27-2014), hydrocephalus (01-26-2014), merci12 (01-23-2014), swwal (01-26-2014)
  #3  
Old 01-26-2014
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Quote:
Originally Posted by truepassion20 View Post
Pericardial effusion is fluid accumulation in the pericardial space , it can be with or without tamponade. Normally fluids keeps accumulating and the cavity keeps stretching to accomodate that fluid without any symptoms and mild distant heart sounds.

But once it is stretched to the extent that it cannot accomodate any more fluid it results in tamponade with
* JVD
* Decrease CO
* Pulsus paradoxus
* Hypotension

You can see Electrical alternans on EKG and Enlarged heart on CXR
but the mostly Commonly done test is ECHO
Most accurate is Right heart Catheterization


Rx: Pericariocentesis and IV fluids (to maintain CO)
Never give diuretics it would cause very severe hypotention in them

thanks alot , that was really good explanation , and i only had doubts about which test to do first in emergency , and you answered it
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