Document Detail

Cardiac tamponade complicating postpericardiotomy syndrome.
MedLine Citation:
PMID:  12972828     Owner:  NLM     Status:  MEDLINE    
We present 2 children who developed postpericardiotomy syndrome (PPS) and the rare complication of cardiac tamponade after cardiac surgery, each requiring life-saving pericardiocentesis in the emergency department (ED). Each child presented with vomiting as a chief complaint, an initial sign that has not been reported previously. As the frequency of orthotopic heart transplants and other cardiac surgeries among children increases, it is likely that ED physicians will encounter PPS and cardiac tamponade with greater frequency, and it is imperative that it be recognized promptly and treated appropriately. We review PPS, cardiac tamponade, and the proper performance of a pericardiocentesis.
Richard J Scarfone; Aaron J Donoghue; Evaline A Alessandrini
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric emergency care     Volume:  19     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-09-15     Completed Date:  2004-04-30     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-71     Citation Subset:  IM    
University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
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MeSH Terms
Adrenal Cortex Hormones / therapeutic use
Anti-Bacterial Agents
Cardiac Tamponade / diagnosis,  drug therapy,  etiology*,  therapy
Child, Preschool
Combined Modality Therapy
Diagnostic Errors
Drug Therapy, Combination / therapeutic use
Heart Septal Defects, Atrial / surgery
Heart Transplantation
Hypnotics and Sedatives
Hypoventilation / prevention & control
Pericardial Effusion / etiology
Pericardiectomy / adverse effects*
Pericardiocentesis / methods
Virus Diseases / diagnosis
Vomiting / etiology
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Bacterial Agents; 0/Hypnotics and Sedatives; 6740-88-1/Ketamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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