Journal of critical care
The most recent articles from:
J Crit Care
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Journal of critical care · Dec 2023
ReviewThe physiology of cardiac tamponade and implications for patient management.
Exceeding the limit of pericardial stretch, intrapericardial collections exert compression on the right heart and decrease preload. Compensatory mechanisms ensue to maintain hemodynamics in the face of a depressed stroke volume but are outstripped as disease progresses. ⋯ Invasive hemodynamics and echocardiographic findings inform on the physiologic effects. In this review, we describe tamponade physiology and implications for supportive care and effusion drainage.