Thabet Chloe, MacDonald Zachary, Johnson Christopher, Niznick Joel, Garuba Habibat Aziz, Law Angeline
Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.
CJC Open. 2021 Dec 9;4(4):420-423. doi: 10.1016/j.cjco.2021.11.011. eCollection 2022 Apr.
Cardiac tamponade is a medical emergency requiring prompt recognition and intervention to avoid potentially fatal consequences. We present a case series of ventricular dysfunction and cardiogenic shock following pericardiocentesis in 3 patients with pericardial effusions at The Ottawa Hospital between 2014 and 2020. This report highlights the need for monitoring post-pericardiocentesis and raises awareness of this phenomenon, particularly in patients with malignancy. We propose a novel pressure-monitoring protocol to guide drainage and prevent development of pericardial decompression syndrome. The novel teaching points include limiting drainage to prevent development of pericardial decompression syndrome and a protocol for intra-pericardial pressure monitoring.
心脏压塞是一种医疗急症，需要迅速识别并进行干预，以避免可能致命的后果。我们报告了2014年至2020年期间在渥太华医院对3例心包积液患者进行心包穿刺术后出现心室功能障碍和心源性休克的病例系列。本报告强调了心包穿刺术后监测的必要性，并提高了对这一现象的认识，尤其是在恶性肿瘤患者中。我们提出了一种新的压力监测方案，以指导引流并预防心包减压综合征的发生。新的要点包括限制引流以预防心包减压综合征的发生以及心包内压力监测方案。
