ICU SAQs · Resuscitation & shock
Obstructive shock — the recognition and the emergency decompression
A CICM SAQ on cardiac tamponade — the Beck's triad, the echo, the immediate pericardiocentesis.
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Prompt
A patient presents with hypotension, distended neck veins, muffled heart sounds, and pulsus paradoxus. The echo shows a large pericardial effusion with RA collapse. Outline the management.
Question
A patient presents with hypotension, distended neck veins, muffled heart sounds, and pulsus paradoxus. The echo shows a large pericardial effusion with RA collapse. Outline the management.
[3]References3ShowHide
- [1]Zotzmann V, Rottmann FA, Müller-Pelzer K, et al. Obstructive Shock, from Diagnosis to Treatment. Reviews in Cardiovascular Medicine, 2022.PMID 39076909
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [3]Roy CL, Minor MA, Brookhart MA, Choudhry NK Does this patient with a pericardial effusion have cardiac tamponade? JAMA, 2007.PMID 17456823