36 results
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 ... LVCompression #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound ... Echocardiogram #Clinical #Cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Effusions (Hemopericardium ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... #Effusion #Hemopericardium ... Differential #Diagnosis #cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
- Pericardial Effusion ... @SAlerhand #Cardiac ... Diagnosis #Evaluation #Cardiology ... #Effusion #Echocardiogram ... #Ultrasound
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... Echocardiogram #ultrasound ... #Cardiology #A4c
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intravascular volume): • Hemorrhage ... Cardiogenic (Intra-cardiac ... → tension PTX, cardiac ... release syndrome, infusion ... table #comparison #criticalcare
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 ... #Pericardial #Effusion ... #Tamponade #Cardiac ... #POCUS #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... increases coronary perfusion ... coronary artery perfusion ... diagnosis #management #cardiology ... #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
allowing for lung rest ... cardiac output ... oxygenator • Assess perfusion ... SVO2, lactate) REST ... management #pulmonary #criticalcare
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
who had recent cardiac ... Ultrasound demonstrated ... #Clinical #Radiology ... #PostSurgical #Hemorrhagic ... #Pericardial #Effusion