Abstract
Cardiac tamponade from pericardial effusion in hemodialysis patients is life threatening. Precipitation of tamponade during the period of hemodialysis is common and it may occur catastrophically. Emergency pericardiocentesis may not be successful because of logistic delays or unapproachable loculation of fluid. Over a short period these problems were seen in 4 patients with one subsequent death. An approach to hemodialysis patients with pericardial effusion which may provide a method of assessing the hemodynamic significance of pericardial fluid before overt tamponade, is suggested and outlined. During dialysis three common hemodynamic changes in patients with pericardial effusion require clear separation because of different therapeutic approaches. These are: volume depletion, congestive heart failure and cardiac tamponade. Distinction is not possible with simple right atrial pressure monitoring but can be made using a Swan Ganz catheter placed in the pulmonary artery. Anterior pericardiectomy before overt tamponade is suggested in patients with hemodynamically important effusion requiring hemodialysis.
| Original language | English (US) |
|---|---|
| Title of host publication | Johns Hopkins Medical Journal |
| Pages | 312-320 |
| Number of pages | 9 |
| Volume | 133 |
| Edition | 6 |
| State | Published - 1973 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
An approach to pericardial effusion in hemodialysis patients. / Burton, John R; Wands, J. R.; Voigt, G. C.; Sterioff, S.; Caralis, D. G.; Zachary, J. B.; Smith, G. W.
Johns Hopkins Medical Journal. Vol. 133 6. ed. 1973. p. 312-320.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - An approach to pericardial effusion in hemodialysis patients
AU - Burton, John R
AU - Wands, J. R.
AU - Voigt, G. C.
AU - Sterioff, S.
AU - Caralis, D. G.
AU - Zachary, J. B.
AU - Smith, G. W.
PY - 1973
Y1 - 1973
N2 - Cardiac tamponade from pericardial effusion in hemodialysis patients is life threatening. Precipitation of tamponade during the period of hemodialysis is common and it may occur catastrophically. Emergency pericardiocentesis may not be successful because of logistic delays or unapproachable loculation of fluid. Over a short period these problems were seen in 4 patients with one subsequent death. An approach to hemodialysis patients with pericardial effusion which may provide a method of assessing the hemodynamic significance of pericardial fluid before overt tamponade, is suggested and outlined. During dialysis three common hemodynamic changes in patients with pericardial effusion require clear separation because of different therapeutic approaches. These are: volume depletion, congestive heart failure and cardiac tamponade. Distinction is not possible with simple right atrial pressure monitoring but can be made using a Swan Ganz catheter placed in the pulmonary artery. Anterior pericardiectomy before overt tamponade is suggested in patients with hemodynamically important effusion requiring hemodialysis.
AB - Cardiac tamponade from pericardial effusion in hemodialysis patients is life threatening. Precipitation of tamponade during the period of hemodialysis is common and it may occur catastrophically. Emergency pericardiocentesis may not be successful because of logistic delays or unapproachable loculation of fluid. Over a short period these problems were seen in 4 patients with one subsequent death. An approach to hemodialysis patients with pericardial effusion which may provide a method of assessing the hemodynamic significance of pericardial fluid before overt tamponade, is suggested and outlined. During dialysis three common hemodynamic changes in patients with pericardial effusion require clear separation because of different therapeutic approaches. These are: volume depletion, congestive heart failure and cardiac tamponade. Distinction is not possible with simple right atrial pressure monitoring but can be made using a Swan Ganz catheter placed in the pulmonary artery. Anterior pericardiectomy before overt tamponade is suggested in patients with hemodynamically important effusion requiring hemodialysis.
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UR - http://www.scopus.com/inward/citedby.url?scp=0015720626&partnerID=8YFLogxK
M3 - Chapter
C2 - 4757563
AN - SCOPUS:0015720626
VL - 133
SP - 312
EP - 320
BT - Johns Hopkins Medical Journal
ER -