1. Ventana pericárdica y drenaje como tratamiento del hemopericardio en pacientes con trauma penetrante torácico.
- Author
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Ortega, Jhonatan, Loaiza, Paula, and Pablo Ramos, Juan
- Abstract
Introduction: Although the pericardial window (PW) is used as a diagnostic method for hemopericardium, there is evidence that it can be used as a treatment in patients who present hemodynamic stability. The objective of this work is to describe the PW treatment of 6 patients with hemopericardium due to penetrating trauma admitted at Sótero del Río hospital. Methods: A series of 6 patients were analyzed where PW was used as a therapeutic method between 2022-2023. Results: Of 6 patients analyzed, 5 were admitted for stab wounds and 1 for gunshotwound. All patients are men and the transfer time was less than 10 minutes, 4 patients had an extended focused evaluation with ultrasound in trauma (E-FAST) positive for hemopericardium and 2 doubtful, 5 were managed for subxiphoid PW and 1 for Transdiaphragmatic PW. There was only one conversion to thoracotomy, 1 patient required exploratory laparoscopy due to a left thoracoabdominal injury and 1 patient required exploratory laparotomy due to liver trauma with active bleeding in the same surgery. The maximum hospitalization time was 10 days. All patients underwent follow-up by echocardiography, which was normal. Conclusion: Pericardial window treatment of hemopericardium due to penetrating trauma is feasible. However, it must be carried out in a highly protocolized center [ABSTRACT FROM AUTHOR]
- Published
- 2024
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