Abstract
Cardiac tamponade is a life-threatening complication occuring after thoracic trauma or cardiac surgery. Blood, other fluids or even air may accumulate in the pericardial cavity. A rise of intrapericardial pressure ensues which can severely impede cardiac action. The acuity of onset of symptoms depends on the rate of fluid accumulation. Complete cardiac collapse may occur within seconds or symptoms may take weeks to develop; decompression is the only cure.
Keywords
- Pericardial Effusion
- Cardiac Tamponade
- Thoracic Trauma
- Intermittant Positive Pressure Ventilation
- Pericardial Cavity
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References
Reece IJ, Davidson KG: Emergency surgery for stab wounds to the heart. Ann R Coll Surg Engl 65: 304–307, 1983.
Demetriades D: Cardiac penetrating injuries: personal experience of 45 cases. Br J Surg 71: 95–97, 1984.
Marshall WG, Bell JL, Kouchoukos NT: Penetrating cardiac trauma. J Trauma 24: 147–149, 1984.
Griffith GL, Zeok JV, Mattingly WT, Todd EP: Right atrial rupture due to blunt chest trauma. South Med J 77: 715–716, 1984.
Weeks KR, Chatterjee K, Block S, Matloff JM, Swan HJC: Bedside hemodynamic monitoring. J Thorac Cardiovasc Surg 71: 250–252, 1976.
Borkon AM, Schaff HV, Gardner TJ, Merrill WH, Brawley RK, Donahoo JS, Watkins L, Weiss JL, Gott VL: Diagnosis and management of postoperative pericardial effusions and late cardiac tamponade following open-heart surgery. Ann Thorac Surg 31: 512–519, 1980.
Jones MR, Vine DL, Attas M, Todd EP: Late isolated ventricular tamponade. J Thorac Cardiovasc Surg 77: 142–146, 1979.
Maschke SP, Rogove HJ: Cardiac tamponade associated with a multilumen central venous catheter. Crit Care Med 12: 611–613, 1984.
Bortolotti U, Livi U, Frugoni C, de Mozzi P, Mazzucco A, Valfré C, Gallucci V: Delayed cardiac tamponade following open heart surgery: analysis of 12 patients. Thorac Cardiovasc Surgeon 29: 233–236, 1981.
Merrill W, Donahoo JS, Brawley RK, Taylor D: Late cardiac tamponade: a potentially lethal complication of open-heart surgery. J Thorac Cardiovasc Surg 72: 929–932, 1976.
Fowler NO, Gabel M: The hemodynamic effects of cardiac tamponade: mainly the result of atrial not ventricular compression. Circulation 71: 154–157, 1985.
Singh S, Wann LS, Schuchard GH, Klopfenstein HS, Leingruber PP, Keelan MH, Brooks HL: Right ventricular and right atrial collapse in patients with cardiac tamponade — a combined echocardigraphic and hemodynamic study. Circulation 70: 966–971, 1984.
Grose R, Greenberg M, Steingart R, Cohen MV: Left ventricular volume and function during relief of cardiac tamponade in man. Circulation 66: 149–155, 1982.
Martins JB, Manuel WJ, Marcus ML, Kerber RE: Comparative effects of catecholamines in cardiac tamponade: experimental and clinical studies. Am J Cardiol 46: 59–66, 1980.
Sladen RN: Management of the adult cardiac patient in the intensive care unit. In: Ream AK, Fogdall RP (eds). Acute cardiovascular management. JB Lippincott Company, Philadelphia, pp 520–524, 1982.
Kaplan JA, Bland JW, Dunbar W: The perioperative management of pericardial tamponade. South Med J 69: 417–419, 1976.
Gillam LD, Guyer D, Gibson TC, King ME, Marshall J, Weyman AE: Hemodynamic compression of the right atrium: a new echocardiographic sign of cardiac tamponade. Circulation 68: 294–301, 1983.
Cummings RG, Wesly RLR, Adams DH, Lowe JE: Pneumopericardium resulting in cardiac tamponade. Ann Thorac Surg 37: 511–518, 1984.
Kerber RE, Gascho JA, Litchfiled R, Wolfson P, Ott D, Pandian NG: Hemodynamic effects of volume expansion and nitroprusside compared to pericardiocentesis in patients with acute cardiac tamponade. N Engl J Med 307: 929–931, 1982.
Mattila I, Takkunen O, Harjula A, Mattila S, Merikallio E: Cardiac tamponade and different modes of artificial ventilation. Acta Anaesthesiol Scand 28: 236–240, 1984.
Stanley TH, Weidauer HE: Anesthesia for the patient with cardiac tamponade. Anesth Analg 52: 110–114, 1973.
Möller CT, Schoonbee CG, Rosendorff C: Haemodynamics of cardiac tamponade during various modes of ventilation. Br J Anaesth 51: 409–414, 1979.
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© 1986 Martinus Nijhoff Publishers, Dordrecht
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de Lange, S. (1986). The Management of Cardiac Emergencies — Cardiac Tamponade. In: De Lange, S., Hennis, P.J., Kettler, D. (eds) Cardiac Anaesthesia: Problems and Innovations. Developments in Critical Care Medicine and Anaesthesiology, vol 12. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4265-3_18
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DOI: https://doi.org/10.1007/978-94-009-4265-3_18
Publisher Name: Springer, Dordrecht
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