Pericardiocentesis en una unidad de cuidados intensivos

Abstract

Objective: Study pacients diagnosed of pencardial effusion and pericardiocentesis was made. We search the ethiology, complications and thecnic's mortality. Method: 69 patients of Clinic Hospital of Zaragoza admited in the cricital care unit. Results: We present 69 patients with 20-87 years old, 21 women and 48 men. The most frecuently ethiology was neoplasic, 19 patients (27.5%), in most cases lung and breast cancer; 17 (24.6%) yatrogenic and 14 (20.3%) idiopatic. Diagnosis was made previously at ICU in 63.8% (44 patients). Pericardiocentesis was made in the 12 hours after admission in 40 cases (58%), and was superior than 500cc in 37 (53.6%). We registered pericardiocentesis complications in 7 (10.3%). 16 patients dead (23%) most of them with pencardial effusion by mecanic cause. Conclusion: Was the pencardial effusion etiology has changed last years, the diagnosis is simply and minimun complications in evacuation, because the means and actual monitorization allow to make pericardiocentesis in optimun conditions. Copyright © 2005 Aran Ediciones, s.l.