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Management of Cardiac Tamponade

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Abstract

Cardiac tamponade is a cardiovascular emergency that occurs when fluid accumulates in the intrapericardial space and impairs cardiac filling. Prompt recognition and diagnosis of cardiac tamponade using physical exam and bedside echocardiography is critical. Emergent drainage of the pericardial effusion by percutaneous needle pericardiocentesis is the mainstay of tamponade management. In certain cases, surgical drainage may be required. In this chapter, we review the pathophysiology and management of acute cardiac tamponade.

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Author information

Authors and Affiliations

  1. Department of Medicine, Division of Cardiovascular Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA

    David D. Berg & Benjamin A. Olenchock

  2. Department of Cardiovascular Diseases, Division of Ischemic Heart Disease and Critical Care Cardiology, Mayo Clinic, Rochester, MN, USA

    Gregory W. Barsness

Authors
  1. David D. Berg
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  2. Gregory W. Barsness
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  3. Benjamin A. Olenchock
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Corresponding author

Correspondence to Benjamin A. Olenchock .

Editor information

Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, Michigan, USA

    Robert C. Hyzy

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Transthoracic echocardiogram, subxiphoid view, demonstrating large circumferential pericardial effusion with RV diastolic collapse (AVI 7120 kb)

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Berg, D.D., Barsness, G.W., Olenchock, B.A. (2017). Management of Cardiac Tamponade. In: Hyzy, R. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-43341-7_14

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  • DOI: https://doi.org/10.1007/978-3-319-43341-7_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43339-4

  • Online ISBN: 978-3-319-43341-7

  • eBook Packages: MedicineMedicine (R0)

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