Pericardiocentesis

[rahughes12]

I agree this is scary.

[Zuffenhausener]

I wonder why they haven't done it with echo-guidance...

[MrAsundstrom]

does this look like its being done in a back room somewhere or is it just me?

[gravitoni32283]

keep in mind that most pericardial taps done in hospitals are guided by echo, as it greatly reduces the risk of perforating a ventricle.

[blibertad]

@gravitoni32283 stfu

[OmegaGrunt]

I went through this a few weeks ago. Woke up one morning with severe shortness of breath and chest pain. a few hours later at the hospital they drained 850ml of fluid from around my heart.

it was a very different experience, they kept me awake through the whole thing. Scared the hell outta me when they stuck the tube it and fluid came spraying out... looked alot like as if someone was squeezing a juice box...

and we still don't know what caused it =p

[adamsson7000]

@OmegaGrunt  what wwwhat was the cause of that effusion ?

[OmegaGrunt]

@adamsson7000 they still don't know, apperently a virus just attacked the wrong thing and it messed me up >.<

[reedsposer22]

hoyl shit this is insane!! 5*

[allacesmax]

Eh. You kinda just go pokity-pokity until you see ectopy on the monitor; then you've it the myocardium. Okay, not really, but usually it's a 45degree depressed angel 2-3cm below xiphoid and point 45degrees to the L scapula...aspirate as you go...bingo...

[blibertad]

@allacesmax nice. not going into emergency med, but im gonna do this one day i swear to allah

[Wiggyify]

its the 5th or 6th intercostal space on the left side of the sternum...not too fifficult to locate at all :)

thanks for the vid

[JohnnyBlondo]

Actually this guy was practically going just out of college when he performed this. How do I know this? I'm talking to the nurse that's featured on the video (the one on the blue clothing).

[AnatomaniaK]

wow. must be a well experienced doctor. How did he manage to easily locate the pericardial space?