ArticleWorld journal of emergency medicine2021
What is the ideal approach for emergent pericardiocentesis using point-of-care ultrasound guidance?
Article in World journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Clinical application of point-of-care ultrasound during cardiopulmonary resuscitation: a systematic review and meta-analysis.Quantitative imaging in medicine and surgery · 2026Article
- Efficacy and safety of apical access in percutaneous pericardiocentesis: a comparison with subxiphoid approach.Journal of cardiovascular medicine (Hagerstown, Md.) · 2025Article
- Ultrasound-guided Emergency Pericardiocentesis Simulation on Human Cadavers: A Scoping Review.The western journal of emergency medicine · 2025Article
- The Role of Point-of-care Ultrasound in Cardiac Arrest; A Narrative Review.Archives of academic emergency medicine · 2025Review
- Computerized tomography angiography in diagnosing an obtuse marginal branch perforation after pericardiocentesis: a case report.Frontiers in cardiovascular medicine · 2025Article
- Off-plane technique ultrasound-guided pericardiocentesis via anterior approach: short communication.The ultrasound journal · 2024Article
- Point-of-care ultrasound for non-vascular invasive procedures in critically ill neonates and children: current status and future perspectives.European journal of pediatrics · 2024Review
- A case report on ultrasound-guided pericardiocentesis with a right parasternal approach: a novel in-plane lateral-to-medial technique.International journal of emergency medicine · 2024Article
- Non-traumatic parasternal pericardiocentesis.BMJ case reports · 2023Article
- Removing pericardial drainage tube for acute cardiac tamponade associated with catheter ablation of atrial fibrillation can trigger hemoperitoneum from severe liver bleeding.HeartRhythm case reports · 2022Article
- A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach.The ultrasound journal · 2022Article
- A cadaveric model for transesophageal echocardiography transducer placement training: A pilot study.World journal of emergency medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraditionally performed using a subxiphoid approach, the increasing use of point-of-care ultrasound in the emergency department has made other approaches (parasternal and apical) for pericardiocentesis viable. The aim of this study is to identify the ideal approach for emergency-physician-performed ultrasound-guided pericardiocentesis as determined by ultrasound image quality, distance from surface to pericardial fluid, and likely obstructions or complications.
methodsA retrospective review of point-of-care cardiac ultrasound examinations was performed in two urban academic emergency departments for the presence of pericardial effusions. The images were reviewed for technical quality, distance of effusion from skin surface, and predicted complications.
resultsA total of 166 pericardial effusions were identified during the study period. The mean skin-to-pericardial fluid distance was 5.6 cm (95% confidence interval [95%
conclusionsOur results suggest that complication rates with pericardiocentesis will be lower via the parasternal or apical approach compared to the subxiphoid approach. The distance from skin to fluid collection is the least in both of these views.
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