Cardiac tamponade and Pericardiocentesis Made Easy
|
|
|
- William Gilmore
- 5 years ago
- Views:
Transcription
1 Cardiac tamponade and Pericardiocentesis Made Easy
2 Etiology of pericardial diseases. Non Infectious cause Infectious cause European Heart Journal (2015) 36,
3 Recommendations for the diagnosis of pericardial effusion Echocardiography (I) Chest X-ray (I) CRP (I) CT or CMR for loculated pericardial effusion (IIa) European Heart Journal (2015) 36,
4 A simplified algorithm for pericardial effusion triage and management. e.g. if known Hypothyroid, renal disease, heart failure, autoimmune Rx the disease Pericardiocenthesis 1) Tamponade 2) suspected malignancy or infection 3) Large Chronic pericardial effusion > 3 months European Heart Journal (2015) 36,
5 Cause of cardiac tamponade European Heart Journal (2015) 36,
6 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Beck s triads JVP BP Muffle heart sound or Distant heart sound
7 Recommendations for the diagnosis and treatment of cardiac tamponade Echocardiography 1 st line imaging (I) Urgent pericardiocentesis (I) ใช Echocardiography for guide the timeing of pericardiocentesis(i) Vasodilator and diuretics (III) European Heart Journal (2015) 36,
8 Pulsus paradoxus 10 mmhg
9 Echocardiography or Ultrasound
10 Indication For Diagnostic For Therapeutic Asymptomatic patients with large effusions do not require pericardiocentesis Unless hemodynamic compromise or for diagnostic Cardiac tamponade Emergency pericardiocentesis Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
11 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Objective (1) relief of tamponade (2) obtaining fluid for appropriate analyses (3) assessment of hemodynamics after pericardial fluid evacuation to exclude effusive-constrictive pericardial effusion.
12 Contraindication Elective pericardiocentesis and receiving anticoagulation bleeding disorders or thrombocytopenia (platelet count < 50,000/ µl). Small pericardial effusion or loculated Complicating acute dissecting aorta Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
13 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique administration of local anesthesia (1% to 2% lidocaine) to the skin and deeper tissues of the left xiphocostal area
14 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique Ultrasound guided pericardiocentesis
15 Technique Electrocardiographic monitoring If ST segment elevation withdraw needle slightly the pericardial needle is connected to an ECG lead. (Not chest wall)
16 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique Blind approach (Not recommend) Only if both Ultrasound or ECG guided are not available aiming toward the left shoulder
17 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique Draw negative
18 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique a guidewire is introduced in the pericardial space through the needle.
19 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique A small skin incision with a #11 scalpel facilitates passage of the dilator and subsequently the drain The dilator is slowly advanced over the guidewire just enough to enter the pericardial cavity. Following dilation, the dilator is removed.
20 Technique the percutaneous drain is advanced over the guidewire until the holes are all in the pericardial cavity.
21 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Technique Connect with radivac drain
22 Complication Laceration of heart and coronary vessel Puncture of RA or RV air embolism Arrhythmia Pneumothorax Puncture in peritoneal cavity or visceral organ Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
23 Acute LV failure after large volume pericardiocentesis Rare,but serious Mechanism?? Interventricular volume mismatch Sudden increase RV volume Increase wall stress (Laplace law : Increase diameter increase wall stress) high filling pressures, combined with a vacuum effect of the evacuated pericardial space.
24 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Other approach parasternal approaches. Puncture of the left pleura and the lingula is more frequent Apical Puncture of the left anterior descending and the internal mammary artery right xiphocostal higher incidence of right atrium and inferior vena cava injury.
25 Management After Pericardiocentesis Pericardiocentesis does not completely evacuate the effusion in most cases. Leave the catheter in place for 24 to 72 hr. the pericardial catheter is removed usually within 72 hours, and decisions for additional therapy are contemplated. If drain >100 ml of fluid/ 24 hours X 3 days considered for more aggressive therapy. (common in malignant pericardial effusion) Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
26 Management After Pericardiocentesis Uncomplicated pericardiocentesis No special care is required If tamponade watch for signs of recurrent tamponade. follow-up echocardiogram is useful Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
27 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and indication for an open surgical pericardial window or for percutaneous balloon pericardiotomy. Reaccumulation of fluid with recurrence of cardiac tamponade
28 Open surgical pericardial window Safe Under local anesthesia Symptomatic recurrence rate 5% Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
29 Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Percutaneous balloon pericardiotomy Injection of a small amount of iodinated contrast an inflated dilating balloon catheter without a waist, indicating the need to reposition the balloon catheter The balloon catheter is in the correct position
30 Complication of balloon pericardiotomy 13% of patients Pleural effusion within hr after procedure (resolve spontaneously) not advised to perform the procedure in patients with marginal pulmonary reserve. Bleeding complication Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and
31 Analysis of Pericardial Fluid Small yield in identifying the etiology European Heart Journal (2015) 36,
32 A step-wise protocol for the evaluation of suspected tuberculous pericarditis and pericardial effusion Step 1 : Initial non-invasive evaluation e.g. CXR, echocardiography Sputum, lymphnode biopsy, TFT, creatinine, ANA,RF etc. Step 2 : Pericardiocentesis Step 3 : Pericardial biopsy Step 4 : Empirical therapy for tuberculosis 2IRZE / 4IR Steriod (optional) European Heart Journal (2015) 36,
33 Recommendations for the diagnosis and treatment of Tuberculous pericarditis and effusion Pericardiocentesis (IIa) Empirical anti-tuberculosis in endemic area (I) Steroid in HIV-negative case (IIb) European Heart Journal (2015) 36,
34 Reference Parrillo, Joseph E.; Dellinger, R. Phillip. Critical Care Medicine: Principles of Diagnosis and Management in the Adult. Elsevier Health Sciences. Hanna MD, Elias B.; D. Luke MD Glancy. Practical Cardiovascular Hemodynamics. Springer Publishing.
35 Reference
Department of Cardiac, Thoracic and Vascular Sciences University of Padua Cardiac Tamponade. Echocardiography in Diagnosis and Management
Department of Cardiac, Thoracic and Vascular Sciences University of Padua Cardiac Tamponade. Echocardiography in Diagnosis and Management Luigi P. Badano, MD, FESC, FACC Declaration of interest **Dr. Badano
THE PERICARDIUM: LOOKING OUTSIDE THE HEART
THE PERICARDIUM: LOOKING OUTSIDE THE HEART DISCLOSURE Relevant relationships with commercial entities none Potential for conflicts of interest within this presentation none Steps taken to review and mitigate
Pericardial Diseases. Smonporn Boonyaratavej, MD. Division of Cardiology, Department of Medicine Chulalongkorn University
Pericardial Diseases Smonporn Boonyaratavej, MD Division of Cardiology, Department of Medicine Chulalongkorn University Cardiac Center, King Chulalongkorn Memorial Hospital 21 AUGUST 2016 Pericardial
We are now going to review the diagnosis and management of pericardial collections and tamponade
We are now going to review the diagnosis and management of pericardial collections and tamponade FEEL COURSE PAGE 1 Paying particular attention to the difference between a collection and cardiac tamponade
Pericardial effusion, Cardiac Tamponade, and echo guided pericardiocentesis
KSC 2017 Echo5- Myocardial and Pericardial disease Pericardial effusion, Cardiac Tamponade, and echo guided pericardiocentesis Ji-Hyun Jung Division of Cardiology Sejong Hospital KSC 2017 The 61 th Annual
Background & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
A Case of Impending Cardiac Tamponade Caused by Effusive Constrictive Pericarditis
Archives of Clinical and Medical Case Reports doi: 10.26502/acmcr.96550038 Volume 2, Issue 5 Case Report A Case of Impending Cardiac Tamponade Caused by Effusive Constrictive Pericarditis Catalina Sanchez-Alvarez
Adel Hasanin Ahmed 1
Adel Hasanin Ahmed 1 PERICARDIAL DISEASE The pericardial effusion ends anteriorly to the descending aorta and is best visualised in the PLAX. PSAX is actually very useful sometimes for looking at posterior
Pericardial diseases
Pericardial diseases Anatomy of the pericardium Consists of parietal and visceral membranes. The space between them(pericardial space is normally filled by a lymph like fluid. The fluid s normal quantity
Cath Lab Essentials: Pericardial effusion & tamponade
Cath Lab Essentials: Pericardial effusion & tamponade Pranav M. Patel, MD, FACC, FSCAI Chief, Division of Cardiology Director, Cardiac Cath Lab & CCU University of California, Irvine Division of Cardiology
12 th Annual West Virginia ACC Meeting April 8, 2017
12 th Annual West Virginia ACC Meeting April 8, 2017 Rameez Sayyed, M.D., FACC, FSCAI Associate professor of Medicine Program Director for interventional cardiology Marshall University Joan C. Edwards
Νόσοι του περικαρδίου. Γεώργιος Λάζαρος Α Πανεπιστημιακή Καρδιολογική Κλινική Ιπποκράτειο Γ.Ν. Αθηνών
Νόσοι του περικαρδίου Γεώργιος Λάζαρος Α Πανεπιστημιακή Καρδιολογική Κλινική Ιπποκράτειο Γ.Ν. Αθηνών I do not have any conflict of interests relevant to this presentation to declare. Pericardial syndromes
Objectives. Highlight typical feature of TB pericarditis. How to make a diagnosis. How to treat TB pericarditis
Dr. Conteh Objectives Highlight typical feature of TB pericarditis How to make a diagnosis How to treat TB pericarditis New evidence for adjunctive corticosteroid Introduction TB pericarditis occurs in
Index. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acute coronary syndrome(s), anticoagulant therapy in, 706, 707 antiplatelet therapy in, 702 ß-blockers in, 703 cardiac biomarkers in,
Coronary Arteriovenous Malformation presenting as Acute Myocardial Infarction. Choon Ta NG, Aaron WONG, Foong-Koon CHEAH, Chi Keong CHING
Coronary Arteriovenous Malformation presenting as Acute Myocardial Infarction Choon Ta NG, Aaron WONG, Foong-Koon CHEAH, Chi Keong CHING The patient 49 year old Male presented with Chest tightness x 1
Clinical Indications for Echocardiography
Clinical Indications for Echocardiography Echocardiography is widely utilised and potential applications are increasing with advances in technology. The aim of this document is two-fold: 1) To define clinical
Pericardial Effusion
Pericardial Effusion How does the heart work? The heart is the organ responsible for pumping blood to and from all tissues of the body. The heart is divided into right and left sides. The job of the right
Dr. Rami M. Adil Al-Hayali Assistant Professor in Medicine
Dr. Rami M. Adil Al-Hayali Assistant Professor in Medicine Venous thromboembolism: pulmonary embolism (PE) deep vein thrombosis (DVT) 1% of all patients admitted to hospital 5% of in-hospital mortality
PERICARDIAL DIAESE. Kaijun Cui Associated professor Sichuan University
PERICARDIAL DIAESE Kaijun Cui Associated professor Sichuan University CLASSIFICATION acute pericarditis pericardial effusion cardiac tamponade constrictive pericarditis congenitally absent pericardium
Cardiac Mass in a 15-Year-Old Boy
Cardiac Mass in a 15-Year-Old Boy Echocardiographic Case Report Hortensia Vuçini Department of Cardiology and Cardiac Surgery UHC Mother Theresa Tirana, Albania October 20, 2007 Case Presentation 15 year-old
Pulmonary Embolism. Thoracic radiologist Helena Lauri
Pulmonary Embolism Thoracic radiologist Helena Lauri 8.5.2017 Statistics 1-2 out of 1000 adults annually are diagnosed with deep vein thrombosis (DVT) and/or pulmonary embolism (PE) About half of patients
Echocardiography as a diagnostic and management tool in medical emergencies
Echocardiography as a diagnostic and management tool in medical emergencies Frank van der Heusen MD Department of Anesthesia and perioperative Care UCSF Medical Center Objective of this presentation Indications
Pericardiocentesis and Drainage by a Silicon Rubber Line. without Echocardiographic Guidance. Experience in 55 Consecutive Patients
Pericardiocentesis and Drainage by a Silicon Rubber Line without Echocardiographic Guidance Experience in 55 Consecutive Patients Kunshen LIU, M.D., Wenling LIU, M.D., Xiaotao LI, M.D., Yue XIA, M.D.,
Looking Outside the Box: Incidental Extracardiac Finding in Echo
Looking Outside the Box: Incidental Extracardiac Finding in Echo Dr. Aijaz Shah Head of Division, Adult Echocardiography Laboratory Prince Sultan Cardiac Centre Riyadh Case 1 17 year old boy presented
Acute Pericardial Tamponade
Acute Pericardial Tamponade Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice, 5th ed. Epidemiology The reported incidence of acute pericardial tamponade is approximately 2% in patients
A Primer on Central Venous Access: Peripherally-Inserted Central Catheters, Tunneled Catheters, and Subcutaneous Ports
Disclosures A Primer on Central Venous Access: Peripherally-Inserted Central Catheters, Tunneled Catheters, and Subcutaneous Ports No conflicts of interest relevant to this presentation Jason W. Pinchot,
Aortic Valve Practice Guidelines: What Has Changed and What You Need to Know
Aortic Valve Practice Guidelines: What Has Changed and What You Need to Know James F. Burke, MD Program Director Cardiovascular Disease Fellowship Lankenau Medical Center Disclosure Dr. Burke has no conflicts
For more information about how to cite these materials visit
Project: Ghana Emergency Medicine Collaborative Document Title: Case Presentation- Pericarditis Author(s): Kwaku Nyame License: Unless otherwise noted, this material is made available under the terms of
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus. Rapid Cardiac Echo (RCE)
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus Rapid Cardiac Echo (RCE) Purpose: Rapid Cardiac Echocardiography (RCE) This unit is designed to cover the theoretical and practical curriculum
THORACIC AORTIC DISSECTION
The Essence of Aortic Dissection THORACIC AORTIC DISSECTION Aortic dissection can be classified as acute if it s onset has been less than 14 days or chronic if its onset has been more than 14 days. Mortality
10/16/2014. CCRN Review - Cardiovascular. CCRN Review - Cardiovascular. CCRN Review - Cardiovascular
Hypertrophic (IHSS) Diagnosis Chest x ray cardiomegaly Electrocardiography LV hypertrophy, ST segment T was changes, Q waves in inferior & precordial leads Atrial & ventricular dysrhythmias Hypertrophic
AORTIC DISSECTIONS Current Management. TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida
AORTIC DISSECTIONS Current Management TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida DISCLOSURES Terumo Medtronic Cook Edwards Cryolife AORTIC
Coronary Artery Perforation Angioplasty Summit Seoul April 30, 2005
Coronary Artery Perforation Angioplasty Summit Seoul April 30, 2005 James R. Margolis, M.D. Miami International Cardiology Consultants Miami, Florida USA Introduction In the stent era, coronary artery
CHAPTER VIII - Primary and Secondary Cardiac Tumours - Marian GASPAR
CHAPTER VIII - Primary and Secondary Cardiac Tumours - Marian GASPAR 8. 1. Introduction - History Although cardiac tumours have been described on anatomical parts by doctors since the 17th century, their
Πνευμονική υπέρταση και περικαρδιακή συλλογή. Τρόποι αντιμετώπισης
Πνευμονική υπέρταση και περικαρδιακή συλλογή. Τρόποι αντιμετώπισης Γεώργιος Λάζαρος Καρδιολόγος, Διευθυντής ΕΣΥ Α Πανεπιστημιακή Καρδιολογική Κλινική Ιπποκράτειο Γ.Ν. Αθηνών Pericardial syndromes o Acute
Lecture 2: Clinical anatomy of thoracic cage and cavity II
Lecture 2: Clinical anatomy of thoracic cage and cavity II Dr. Rehan Asad At the end of this session, the student should be able to: Identify and discuss clinical anatomy of mediastinum such as its deflection,
State of the Art of Percutaneous Procedures for the Management of Tamponade
Session: Diagnosis and Management of Cardiac Tamponade State of the Art of Percutaneous Procedures for the Management of Tamponade Prof. Dr. Bernhard Maisch Director of Internal Medicine-Cardiology the
Pericardial Diseases/Tamponade Illustrative Cases
Pericardial Diseases/Tamponade Illustrative Cases Jae K. Oh, MD Echo Hawaii 2017 2012 MFMER 3200268v3(2010)-1 Case #1 47 year old man Chest pain Not exertional Normal Examination 2016 MFMER slide-2 1 47
The pericardial sac is composed of the outer fibrous pericardium
Pericardiectomy for Constrictive or Recurrent Inflammatory Pericarditis Mauricio A. Villavicencio, MD, Joseph A. Dearani, MD, and Thoralf M. Sundt, III, MD Anatomy and Preoperative Considerations The pericardial
ANNEX III AMENDMENTS TO THE SUMMARIES OF PRODUCT CHARACTERISTICS AND PACKAGE LEAFLETS
ANNEX III AMENDMENTS TO THE SUMMARIES OF PRODUCT CHARACTERISTICS AND PACKAGE LEAFLETS 25 AMENDMENTS TO BE INCLUDED IN THE RELEVANT SECTIONS OF THE SUMMARY OF PRODUCT CHARACTERISTICS FOR BROMOCRIPTINE CONTAINING
Diagnostic Approach to Pleural Effusion
Diagnostic Approach to Pleural Effusion Objectives Define the leading causes of pleural effusion Classify the type of effusion Identify procedures and tests associated with diagnosis 2 Agenda Basic anatomy
Results of Ischemic Heart Disease
Ischemic Heart Disease: Angina and Myocardial Infarction Ischemic heart disease; syndromes causing an imbalance between myocardial oxygen demand and supply (inadequate myocardial blood flow) related to
Pulmonic Stenosis. How does the heart work?
Pulmonic Stenosis How does the heart work? The heart is the organ responsible for pumping blood to and from all tissues of the body. The heart is divided into right and left sides. The job of the right
Sample page. POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com.
2018 Complete Guide for Interventional Radiology An in-depth guide to interventional radiology coding, billing, and reimbursement for facilities and physicians POWER UP YOUR CODING with Optum360, your
Date: I hereby consent to and authorize Chest Medicine Associates and other individuals involved in my care to perform a thoracentesis procedure.
Consent for Surgical and Medical Treatment Patient Name: ----------- Date: --------------- Patient Number: _ Treatment Location: Chest Medicine Associates Date of Birth: ~~ I hereby consent to and authorize
Right-Sided Congestive Heart Failure Basics
Right-Sided Congestive Heart Failure Basics OVERVIEW Failure of the right side of the heart to pump blood at a sufficient rate to meet the needs of the body or to prevent blood from pooling within the
Interventional procedures guidance Published: 26 September 2014 nice.org.uk/guidance/ipg504
Transcatheter valve-in-valve e implantation for aortic bioprosthetic valve dysfunction Interventional procedures guidance Published: 26 September 2014 nice.org.uk/guidance/ipg504 Your responsibility This
Efficacy and safety of thoracoscopic pericardial window in patients with pericardial effusions: a single-center case series
Sakanoue et al. Journal of Cardiothoracic Surgery (2016) 11:92 DOI 10.1186/s13019-016-0488-x RESEARCH ARTICLE Open Access Efficacy and safety of thoracoscopic pericardial window in patients with pericardial
AP2 Lab 1 - Blood & Heart
AP2 Lab 1 - Blood & Heart Project 1 - Formed Elements Identification & Recognition See fig. 17.10 and Table 17.2. Instructor may also provide other images. Note: See Fig. 17.11 All formed elements are
Outline. Echocardiographic Assessment of Pericardial Effusion/Tamponade: The Essentials
Echocardiographic Assessment of Pericardial Effusion/Tamponade: The Essentials John R Schairer DO FACC Henry Ford Heart and Vascular Institute No Disclosures Outline Normal Anatomy and Physiology Pathophysiology
ASE 2011 Appropriate Use Criteria for Echocardiography
ASE 2011 Appropriate Use Criteria for Echocardiography Table 1. TTE for General Evaluation of Cardiac Structure and Function 1 2 Suspected Cardiac Etiology General With TTE Symptoms or conditions potentially
Complications of Acute Myocardial Infarction
Acute Myocardial Infarction Complications of Acute Myocardial Infarction Diagnosis and Treatment JMAJ 45(4): 149 154, 2002 Hiroshi NONOGI Director, Division of Cardiology and Emergency Medicine, National
ΔΙΑΧΕΙΡΙΣΗ ΑΣΘΕΝΩΝ ΜΕ ΜΕΣΟΚΟΛΠΙΚΗ ΕΠΙΚΟΙΝΩΝΙΑ ΖΑΧΑΡΑΚΗ ΑΓΓΕΛΙΚΗ ΚΑΡΔΙΟΛΟΓΟΣ ΗΡΑΚΛΕΙΟ - ΚΡΗΤΗ
ΔΙΑΧΕΙΡΙΣΗ ΑΣΘΕΝΩΝ ΜΕ ΜΕΣΟΚΟΛΠΙΚΗ ΕΠΙΚΟΙΝΩΝΙΑ ΖΑΧΑΡΑΚΗ ΑΓΓΕΛΙΚΗ ΚΑΡΔΙΟΛΟΓΟΣ ΗΡΑΚΛΕΙΟ - ΚΡΗΤΗ European Accreditation in TTE, TEE and CHD Echocardiography NOTHING TO DECLARE ATRIAL SEPTAL DEFECT TYPES SECUNDUM
Shock, Monitoring Invasive Vs. Non Invasive
Shock, Monitoring Invasive Vs. Non Invasive Paula Ferrada MD Assistant Professor Trauma, Critical Care and Emergency Surgery Virginia Commonwealth University Shock Fluid Pressors Ionotrope Intervention
NYU School of Medicine Department of Radiology Rotation-Specific House Staff Evaluation
Vascular & Interventional Radiology Rotation 1 Core competency in vascular and interventional radiology during the first resident rotation consists of clinical objectives, technical objectives and image
CARDIO-VASCULAR SYNDROME
CARDIO-VASCULAR SYNDROME Dr Etienne Leroy-Terquem Centre hospitalier de Meulan les Mureaux. France French-cambodian association for pneumology (OFCP) OFCP Right pulmonary artery Left pulmonary artery
Case 5 15-year-old male
Case 5 15-year-old male Present illness: Six months ago, abnormality of ECG was incidentally detected by annual health check. His blood level of γ-gtp, HbA1c and norepinephrine were elevated; however,
University of Florida Department of Surgery. CardioThoracic Surgery VA Learning Objectives
University of Florida Department of Surgery CardioThoracic Surgery VA Learning Objectives This service performs coronary revascularization, valve replacement and lung cancer resections. There are 2 faculty
Lung Cancer - Suspected
Lung Cancer - Suspected Shared Decision Making Lung Cancer: http://www.enhertsccg.nhs.uk/ Patient presents with abnormal CXR Lung cancer - clinical presentation History and Examination Incidental finding
BELLWORK page 343. Apnea Dyspnea Hypoxia pneumo pulmonary Remember the structures of the respiratory system 1
BELLWORK page 343 Apnea Dyspnea Hypoxia pneumo pulmonary respiratory system 1 STANDARDS 42) Review case studies that involve persons with respiratory disorders, diseases, or syndromes. Citing information
Images have been removed from the PowerPoint slides in this handout due to copyright restrictions.
Percutaneous Coronary Intervention https://www.youtube.com/watch?v=bssqnhylvma Types of PCI Procedures Balloon Angioplasty Rotational Atherectomy Coronary Stent Balloon Inflation Rotational Atherectomy
Pleural Effusion. Exudative pleural effusion - Involve an increase in capillary permeability and impaired pleural fluid resorption
Pleural Effusion Definition of pleural effusion Accumulation of fluid between the pleural layers Epidemiology of pleural effusion Estimated prevalence of pleural effusion is 320 cases per 100,000 people
Minimal access aortic valve surgery has become one of
Minimal Access Aortic Valve Surgery Through an Upper Hemisternotomy Approach Prem S. Shekar, MD Minimal access aortic valve surgery has become one of the accepted forms of surgical therapy for patients
7. Echocardiography Appropriate Use Criteria (by Indication)
Criteria for Echocardiography 1133 7. Echocardiography Criteria (by ) Table 1. TTE for General Evaluation of Cardiac Structure and Function Suspected Cardiac Etiology General With TTE 1. Symptoms or conditions
The Management of Chest Trauma. Tom Scaletta, MD FAAEM Immediate Past President, AAEM
The Management of Chest Trauma Tom Scaletta, MD FAAEM Immediate Past President, AAEM Trichotomizing Rib Fractures Upper 1-3 vascular injuries Middle 4-9 Lower 10-12 12 liver/spleen injuries Management
Adult Echocardiography Examination Content Outline
Adult Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 4 5 Anatomy and Physiology Pathology Clinical Care and Safety Measurement Techniques, Maneuvers,
A Practical Approach to Ultrasound Assessment of Respiratory Distress
A Practical Approach to Ultrasound Assessment of Respiratory Distress Yanick Beaulieu, MD, FRCPC Director, Bedside Ultrasound Curriculum Division of Cardiology and Critical Care Hôpital du Sacré-Coeur
AORTIC DISSECTION. DISSECTING ANEURYSMS OF THE AORTA or CLASSIFICATION
DISSECTING ANEURYSMS OF THE AORTA or AORTIC DISSECTION CLASSIFICATION DeBakey classified aortic dissections into types I, II, and III :- Type I dissection the tear site originates in the ascending aorta,
TAMPONADE CARDIAQUE. Dr Cédrick Zaouter TUSAR 15 décembre 2015
TAMPONADE CARDIAQUE Dr Cédrick Zaouter TUSAR 15 décembre 2015 OUTLINE History Incidence Definition Pathophysiology Aetiologies Investigations - Echocardiography Treatment of cardiac tamponade Pericardial
Pericardial Decompression
Pericardial Decompression T. Z. Lajos, M.D., H. E. Black, M.D., R. G. Cooper, M.D., and J. Wanka, M.D. ABSTRACT Pericardial tamponade and chronic pericardial effusion were treated in 32 patients by creating
Detailed Order Request Checklists for Cardiology
Next Generation Solutions Detailed Order Request Checklists for Cardiology 8600 West Bryn Mawr Avenue South Tower Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com Appropriate.Safe.Affordable 2018
Extended FAST Exam. Goal of Trauma Care. Golden Hour of Trauma
Extended FAST Exam Goal of Trauma Care Golden Hour of Trauma Best INITIAL screening modality in trauma efast 2014 LLSA Article (ACEP Policy Statement) Level B Recommendation: In hemodynamically unstable
Shot Through the Heart (And You re to Blame): Penetrating Cardiac Trauma
Shot Through the Heart (And You re to Blame): Penetrating Cardiac Trauma Yalaunda M. Thomas, MD, FACS The American College of Osteopathic Emergency Physicians Spring Seminar April 5, 2018 Disclosures I
Patient Management Conference. John M. Lasala MD PhD Professor of Medicine and Surgery Washington University
Patient Management Conference John M. Lasala MD PhD Professor of Medicine and Surgery Washington University Disclosures None Case Patient SK 63 y/o man with history of: Atrial fibrillation with RVR, on
Patient Management Code Blue in the CT Suite
Patient Management Code Blue in the CT Suite David Stultz, MD November 28, 2001 Case Presentation A 53-year-old woman experienced acute respiratory distress during an IV contrast enhanced CT scan of the
Breakout Session: Transesophageal Echocardiography
Breakout Session: Transesophageal Echocardiography Doris Ockert, MD Andrew Schroeder, MD University of Wisconsin School of Medicine and Public Health Jutta Novalija, MD, PhD Medical College of Wisconsin
ACTIVITY 9: BLOOD AND HEART BLOOD
ACTIVITY 9: BLOOD AND HEART OBJECTIVES: 1) How to get ready: Read Chapters 21 & 22, McKinley et al., Human Anatomy, 4e. All text references are for this textbook. Read dissection instructions BEFORE YOU
ECG Workshop. Nezar Amir
ECG Workshop Nezar Amir Myocardial Ischemia ECG Infarct ECG in STEMI is dynamic & evolving Common causes of ST shift Infarct Localisation Left main artery occlusion: o diffuse ST-depression with ST elevation
PULMONARY EMBOLISM (PE): DIAGNOSIS AND TREATMENT
PULMONARY EMBOLISM (PE): DIAGNOSIS AND TREATMENT OBJECTIVE: To provide a diagnostic algorithm and treatment options for patients with acute pulmonary embolism (PE). BACKGROUND: Venous thromboembolism (VTE)
The role of bedside ultrasound in the diagnosis of pericardial effusion and cardiac tamponade
Symposium The role of bedside ultrasound in the diagnosis of pericardial effusion and cardiac tamponade Adam Goodman, Phillips Perera, Thomas Mailhot, Diku Mandavia Department of Emergency Medicine, Los
(SKILLS/HANDS-ON) Chest Tubes. Rebecca Carman, MSN, ACNP-BC. Amanda Shumway, PA-C. Thomas W. White, MD, FACS, CNSC
(SKILLS/HANDS-ON) Chest Tubes Rebecca Carman, MSN, ACNP-BC Nurse Practitioner, Trauma Services, Intermountain Medical Center, Intermountain Healthcare Amanda Shumway, PA-C APC Trauma and Critical Care
Recent Advances in the Diagnosis and Treatment of Tuberculous Pericarditis
Recent Advances in the Diagnosis and Treatment of Tuberculous Pericarditis Bongani M Mayosi FACULTY OF HEALTH SCIENCES GROOTE SCHUUR HOSPITAL AND UNIVERSITY OF CAPE TOWN Figure 1 Apical four chamber view
Indications of Coronary Angiography Dr. Shaheer K. George, M.D Faculty of Medicine, Mansoura University 2014
Indications of Coronary Angiography Dr. Shaheer K. George, M.D Faculty of Medicine, Mansoura University 2014 Indications for cardiac catheterization Before a decision to perform an invasive procedure such
Diseases of the aorta
Diseases of the aorta Aneurysm, dissection and aortitis are the main pathologies (Fig. 18.79 ). data:text/html;charset=utf-8,%3ch2%20id%3d%22cc5a0836d6aa490ca26dd7c15632b559%22%20style%3d%22margin%3a%201.3em%200px%200.5em%3b%20padding%3a%200px%3b%20border%3a%200px%3b%20font-fa
Palpable Pulsus Paradoxus in the Setting of Malignant Pericardial Effusion and Tamponade Akshay Pendyal, MD
Palpable Pulsus Paradoxus in the Setting of Malignant Pericardial Effusion and Tamponade Akshay Pendyal, MD University of Colorado Department of Internal Medicine None Conflicts of Interest Objectives
TAVR : Caring for your patients before and after TAVR
TAVR : Caring for your patients before and after TAVR Zubair Ahmed MD FSCAI Interventional Cardiologist Washington Regional Medical Center / Walker Heart Institute What is Aortic Valve Stenosis? AVA ~4
Acute Coronary Syndromes Unstable Angina Non ST segment Elevation MI (NSTEMI) ST segment Elevation MI (STEMI)
Leanna R. Miller, RN, MN, CCRN-CSC, PCCN-CMC, CEN, CNRN, CMSRN, NP Education Specialist LRM Consulting Nashville, TN Objectives Evaluate common abnormalities that mimic myocardial infarction. Identify
Cardio-vascular syndrome. Etienne Leroy Terquem Pierre L Her SPI / ISP Soutien Pneumologique International / International Support for Pulmonology
Cardio-vascular syndrome Etienne Leroy Terquem Pierre L Her SPI / ISP Soutien Pneumologique International / International Support for Pulmonology Left pulmonary artery Right pulmonary artery OFCP Left
Copyright 2017 American College of Emergency Physicians. All rights reserved.
POLICY Approved April 2017 Guidelines for the Use of Transesophageal Echocardiography (TEE) in the ED for Cardiac Arrest Approved by the ACEP Board of Directors April 2017 1. Introduction The American
Acute coronary syndromes
Acute coronary syndromes 1 Acute coronary syndromes Acute coronary syndromes results primarily from diminished myocardial blood flow secondary to an occlusive or partially occlusive coronary artery thrombus.
Integrative Clinical Hemodyamics
Integrative Clinical Hemodyamics James A. Goldstein, MD Director, Research & Education Division of Cardiology William Beaumont Hospital Disclosure Information Integrative Clinical Hemodyamics James A.
Pediatric Lung Ultrasound (PLUS) In Diagnosis of Community Acquired Pneumonia (CAP)
Pediatric Lung Ultrasound (PLUS) In Diagnosis of Community Acquired Pneumonia (CAP) Dr Neetu Talwar Senior Consultant, Pediatric Pulmonology Fortis Memorial Research Institute, Gurugram Study To compare
PERFORATION and RUPTURE
PERFORATION and RUPTURE Dr. Enrique Esplugas Hospital Universitari de Bellvitge L Hospitalet de L. Barcelona. SPAIN I do not have any potential conflict of interest PERFORATION RUPTURE Disruption of the
More acute cardiology
Case 1 RC 86, Male More acute cardiology Dr John Chambers Consultant Cardiologist A&E: SOB at rest. No chest pain. Exertional SOB for 6/12. PMHx: HT Rx: Ramipril 5mg od Examination: Afebrile, HR = 105,
The Cardiovascular System
The Cardiovascular System The Manila Times College of Subic Prepared by: Stevens B. Badar, RN, MANc THE HEART Anatomy of the Heart Location and Size approx. the size of a person s fist, hollow and cone-shaped,
LAB 12-1 HEART DISSECTION GROSS ANATOMY OF THE HEART
LAB 12-1 HEART DISSECTION GROSS ANATOMY OF THE HEART Because mammals are warm-blooded and generally very active animals, they require high metabolic rates. One major requirement of a high metabolism is
DISCUSSION QUESTION - 1
CASE PRESENTATION 87 year old male No past history of diabetes, HTN, dyslipidemia or smoking Very active Medications: omeprazole for heart burn Admitted because of increasing retrosternal chest pressure
Pericardial disease. Se-Jung Yoon Cardiology division NHIS Ilsan hospital
Pericardial disease Se-Jung Yoon Cardiology division NHIS Ilsan hospital Normal pericardial effusion Normal pericardium Normal pericardium Pericardial Layers: Visceral layer Parietal layer Fibrous pericardium
Case 1. A 35-year-old male presented with fever, cough, and purulent sputum for one week. This was his CXR (Fig. 1.1). What is the diagnosis?
1 Interpreting Chest X-Rays CASE 1 Fig. 1.1 Case 1. A 35-year-old male presented with fever, cough, and purulent sputum for one week. This was his CXR (Fig. 1.1). What is the diagnosis? CASE 1 Interpreting
GRAND ROUNDS. A Case Of Imatinib Induced Massive Pericardial Effusion Causing Cardiac Tamponade KAVITHA K, NEERAJ MANIKKOTH, GEETHA P ABSTRACT
GRAND ROUNDS KAVITHA K, NEERAJ MANIKKOTH, GEETHA P ABSTRACT Long term treatment with tyrosine kinase inhibitors ( TKI s) are known to produce serositis resulting in minimal pericardial and pleural effusion