RT Book, Section
A1 Grocott, Hilary P.
A1 Gulati, Harleena
A1 Mackensen, G. Burkhard
A2 Barbeito, Atilio
A2 Shaw, Andrew D.
A2 Grichnik, Katherine
SR Print(0)
ID 56785347
T1 Chapter 16. Pericardial Window Procedures
T2 Thoracic Anesthesia
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162566-1
LK accessanesthesiology.mhmedical.com/content.aspx?aid=56785347
RD 2023/09/29
AB Patients  presenting  for  pericardial  drainage  procedures  require  a  thorough,  but  often  urgent,  preoperative  evaluation  in  order  to  understand  the  etiology  of  the  effusion  and  any  associated  hemodynamic  instability,  such  as  tamponade.Echocardiography  plays  a  central  role  in  the  diagnosis  of  effusion  and  pericardial  tamponade  and  can  guide  drainage.Thoracoscopic  procedures  and  subxiphoid  approaches  are  the  most  common  techniques  for  definitive  drainage  of  pericardial  effusion.  However,  ultrasound-guided  needle  pericardiocentesis  can  be  used  for  emergent  drainage  in  the  unstable  patient.The  anesthetic  technique  needs  to  be  tailored  to  the  individual  patient  characteristics,  but  can  be  accomplished  successfully  with  inhalational,  as  well  as  intravenous  induction  techniques.  The  hemodynamic  goals  of  augmented  preload  with  maintenance  of  afterload,  contractility,  and  heart  rate  should  be  targets.