Intubation of the pericardial sac
Autor: | J Winehouse |
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Rok vydání: | 2006 |
Předmět: |
Adult
Male medicine.medical_specialty Heart Injury Resuscitation medicine.medical_treatment Wounds Stab New Online Case Reports Cardiac tamponade medicine Intubation Pericardium Humans Thoracotomy Heart Atria Emergency Treatment business.industry General Medicine medicine.disease Coronary Vessels Surgery Cardiac Tamponade medicine.anatomical_structure Heart Injuries Shock (circulatory) Anesthesia Chest Tubes Tamponade medicine.symptom business |
Zdroj: | Annals of the Royal College of Surgeons of England. 88(4) |
ISSN: | 1478-7083 |
Popis: | A 22-year-old male was admitted to casualty with a penetrating injury to his left ventricle following a stabbing to his chest. Penetrating injuries to major organs that originate or pass through the relatively narrow mediastinal corridor may have catastrophic consequences with little in the way of external signs to indicate the severity of the injury. Clinically, patients with penetrating cardiac injuries may present with cardiac shock due to either volume loss or pericardial tamponade. However, expeditious recognition, resuscitation and surgical treatment of these injuries are imperative if one wishes to reduce their inherently high mortality. Simple methods in trauma resuscitation, often being carried out in less than optimum conditions, are vital in order to save an injured patient's life. Decompression of the pericardial sac by intubation is described as a new and relatively simple method in the initial resuscitation of a patient with sharp cardiac injury, prior to definitive surgery. |
Databáze: | OpenAIRE |
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