A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach
Abstract Background Cardiac tamponade occurs when fluid or blood, fills the pericardial space, and causes hemodynamic compromise due to compression of the heart. It is a potentially life-threatening condition, that requires rapid recognition and immediate treatment. Formerly, blind or surgical techn...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-05-01
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| Series: | The Ultrasound Journal |
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| Online Access: | https://doi.org/10.1186/s13089-022-00271-9 |
| _version_ | 1811338886469648384 |
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| author | Adi Osman Azma Haryaty Ahmad Nurul Shaliza Shamsudin Muhammad Faiz Baherin Chan Pei Fong |
| author_facet | Adi Osman Azma Haryaty Ahmad Nurul Shaliza Shamsudin Muhammad Faiz Baherin Chan Pei Fong |
| author_sort | Adi Osman |
| collection | DOAJ |
| description | Abstract Background Cardiac tamponade occurs when fluid or blood, fills the pericardial space, and causes hemodynamic compromise due to compression of the heart. It is a potentially life-threatening condition, that requires rapid recognition and immediate treatment. Formerly, blind or surgical techniques were used, and it is associated with complications. Medical technology development has enabled us to perform the procedure safely, with the assistance of ultrasound devices. This article will highlight the novel use of an in-plane subcostal technique, as a safe option for pericardiocentesis in cardiac tamponade. Case presentation A 50-year-old man presented to the emergency department (ED) with shortness of breath and shock. He was intubated for respiratory distress. His bedside echocardiography showed cardiac tamponade. Ultrasound-guided pericardiocentesis was carried out using an in-plane technique, at the subcostal region, with a high-frequency linear ultrasound transducer. This particular method provided full visualization of needle trajectory throughout the procedure. It was successfully completed with no complications and patient’s hemodynamic status improved post-procedure. He was successfully discharged on day 13. Conclusions The in-plane subcostal pericardiocentesis is a safe, and simple approach that can be performed in the ED for patients with cardiac tamponade. We recommend this new in-plane method, with high-frequency linear transducer at the subcostal area as an alternative when cardiac window for other approaches cannot be visualized. |
| first_indexed | 2024-04-13T18:18:17Z |
| format | Article |
| id | doaj.art-aa7e8b6801eb4e38ad60f5c8ca210374 |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-04-13T18:18:17Z |
| publishDate | 2022-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-aa7e8b6801eb4e38ad60f5c8ca2103742022-12-22T02:35:37ZengSpringerOpenThe Ultrasound Journal2524-89872022-05-011411410.1186/s13089-022-00271-9A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approachAdi Osman0Azma Haryaty Ahmad1Nurul Shaliza Shamsudin2Muhammad Faiz Baherin3Chan Pei Fong4Consultant Emergency Physician & ED Critical Care, Resuscitation & Emergency Critical Care Unit (RECCU), Trauma & Emergency Department, Hospital Raja Permaisuri BainunConsultant Emergency Physician & ED Critical Care, Resuscitation & Emergency Critical Care Unit (RECCU), Trauma & Emergency Department, Hospital Raja Permaisuri BainunEmergency Physician, Trauma & Emergency Department, Hospital Raja Permaisuri BainunEmergency Physician, Trauma & Emergency Department, Hospital Raja Permaisuri BainunConsultant Emergency Physician & ED Critical Care, Resuscitation & Emergency Critical Care Unit (RECCU), Trauma & Emergency Department, Hospital Raja Permaisuri BainunAbstract Background Cardiac tamponade occurs when fluid or blood, fills the pericardial space, and causes hemodynamic compromise due to compression of the heart. It is a potentially life-threatening condition, that requires rapid recognition and immediate treatment. Formerly, blind or surgical techniques were used, and it is associated with complications. Medical technology development has enabled us to perform the procedure safely, with the assistance of ultrasound devices. This article will highlight the novel use of an in-plane subcostal technique, as a safe option for pericardiocentesis in cardiac tamponade. Case presentation A 50-year-old man presented to the emergency department (ED) with shortness of breath and shock. He was intubated for respiratory distress. His bedside echocardiography showed cardiac tamponade. Ultrasound-guided pericardiocentesis was carried out using an in-plane technique, at the subcostal region, with a high-frequency linear ultrasound transducer. This particular method provided full visualization of needle trajectory throughout the procedure. It was successfully completed with no complications and patient’s hemodynamic status improved post-procedure. He was successfully discharged on day 13. Conclusions The in-plane subcostal pericardiocentesis is a safe, and simple approach that can be performed in the ED for patients with cardiac tamponade. We recommend this new in-plane method, with high-frequency linear transducer at the subcostal area as an alternative when cardiac window for other approaches cannot be visualized.https://doi.org/10.1186/s13089-022-00271-9PericardiocentesisUltrasound-guidedSubcostal ApproachNeedle Visualization |
| spellingShingle | Adi Osman Azma Haryaty Ahmad Nurul Shaliza Shamsudin Muhammad Faiz Baherin Chan Pei Fong A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach The Ultrasound Journal Pericardiocentesis Ultrasound-guided Subcostal Approach Needle Visualization |
| title | A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach |
| title_full | A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach |
| title_fullStr | A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach |
| title_full_unstemmed | A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach |
| title_short | A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach |
| title_sort | novel in plane technique ultrasound guided pericardiocentesis via subcostal approach |
| topic | Pericardiocentesis Ultrasound-guided Subcostal Approach Needle Visualization |
| url | https://doi.org/10.1186/s13089-022-00271-9 |
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