Echocardiographic approach to cardiac tamponade in critically ill patients

被引：17

作者：

McCanny, Peter ^{[1
]}

Colreavy, Frances ^{[1
,2
]}

机构：

[1] Mater Misericordiae Univ Hosp, Dept Crit Care Med, Eccles St, Dublin 7, Ireland

[2] Univ Coll Dublin, Mater Misericordiae Univ Hosp, Sch Med, Eccles St, Dublin 7, Ireland

来源：

JOURNAL OF CRITICAL CARE | 2017年 / 39卷

关键词：

Cardiac tamponade; Pericardial effusion; Critical care echocardiography; Haemodynamic instability; Pericardiocentesis; PERICARDIAL-EFFUSION; PULSUS PARADOXUS; TRANSTHORACIC ECHOCARDIOGRAPHY; PURULENT PERICARDITIS; RESPIRATORY VARIATION; DIASTOLIC COLLAPSE; ATRIAL COMPRESSION; FLOW VELOCITIES; MANAGEMENT; DIAGNOSIS;

D O I：

10.1016/j.jcrc.2016.12.008

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cardiac tamponade should be considered in a critically ill patient in whom the cause of haemodynamic shock is unclear. When considering tamponade, transthoracic echocardiography plays an essential role and is the initial investigation of choice. Diagnostic sensitivity of transthoracic echocardiography is dependent on image quality, and in some cases a transoesophageal approach may be required to confirm the diagnosis. Knowledge of the pathophysiology and echocardiographic features of cardiac tamponade are essential for the practicing Intensivist. This review presents an approach to the recognition, diagnosis, and treatment of cardiac tamponade in critically ill patients. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：271 / 277

页数：7

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