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Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Postoperative #Pericardial #Effusion
Postoperative Hemorrhagic ... Pericardial effusion ... Compression and Tamponade ... #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
in blood flow caused ... effusion, cardiac ... Depends on the cause ... Tamponade: pericardial ... effusion, small
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... Echocardiogram #Cardiac ... #Tamponade #Pericardial ... #Effusion
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

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Hemorrhagic Pericardial ... Effusion with Tamponade ... on POCUS In ... #Pericardial #Effusion ... #Tamponade #Cardiac
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... • Malignancy (e.g ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... #Hemorrhagic #Pericardial
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... toward the largest pericardial ... #Cardiac #Tamponade ... Anesthesiology #Anesthesia
Hemorrhagic Tamponade revealed during CPR on POCUS

POCUS (cardiac SubXi) showing why CPR isn't doing much for
Hemorrhagic Tamponade ... POCUS (cardiac ... tamponade. ... echocardiogram #Effusion ... #Pericardial #Intraarrest
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... pericarditis, Pericardial ... Tamponade ... Cardiac surgery?
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac ... , Medications (anesthesia ... • HYPOVOLEMIC: Hemorrhage
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
motion (PVFM) Cardiac ... Pulmonary embolism • Cardiac ... ischemia • Pericardial ... effusion/Tamponade ... • Hypovolemic shock