Video:Pericardiocentesis

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Pericardiocentesis (Tutorial)
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Verify cardiac tamponade on ultrasound.[1]

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Sterilize and inject freezing into the area around the xiphoid process.[1]

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Just below and left of the xiphoid joining the ribs introduce the needle pointing towards the left shoulder.[1]

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Pull back the plunger as you advance the needle.[1]

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Once fluid comes back, take off the syringe and feed in a J-tipped guidewire.[1]

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Remove the needle and feed a dilator over the wire.[1]

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Remove the dilator and place a pigtail catheter.[1]

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Remove the wire and drain the pericardial fluid.[1]

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References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Roberts and Hedges' clinical procedures in emergency medicine and acute care (Seventh ed.). Philadelphia, PA: Elsevier Health Sciences. 2019. pp. 309–331. ISBN 9780323547949.