Pericardiocentesis

It is a  puncture of pericardium to evacuate pericardial fluid.
 * In hospital conditions, it is performed under echocardiographic control, which minimizes complications and allows subsequent insertion of a thin drain.
 * In the field, the pericardium is punctured so-called blindly.
 * The patient assumes a semi-sitting position.
 * The epidural needle is inserted to the left of the xiphoid process at an angle of about 45 ° below the ribs towards the left nipple.
 * With constant aspirations, we approach the heart.
 * We are waiting for a faint thud signaling the penetration of the pericardium and the subsequent aspiration of blood/serous fluid/air.
 * After aspiration of blood, a small amount of blood is sprayed out and monitored for clotting. Blood from the pericardial space does not contain fibrin and therefore does not clot.
 * Exercise carries the risk of pericardial and cardiac laceration or injuries coronary artery or lungs.
 * Lethality of blind pericardiocentesisis around 20%.

Related articles

 * Pericardial punction (pediatrics)
 * Pericard surgery
 * Cardiac tamponade
 * Pericarditis
 * Heart