Tension hydrothorax: emergency decompression of a pleural cause of cardiac tamponade

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dc.contributor.authorVinck Geerman, Eric Edward
dc.contributor.authorGarzón, Juan Carlos
dc.contributor.authorPeterson, Tim
dc.contributor.authorVillarreal, Ricardo A.
dc.contributor.authorCabrera, Luis Felipe
dc.contributor.authorEijnden, L. van den
dc.date.accessioned2020-04-23T16:24:31Z
dc.date.available2020-04-23T16:24:31Z
dc.date.issued2018
dc.description.abstractenglishIntroduction A tension hydrothorax is defined as a massive pleural effusion presenting with hemodynamic abnormalities secondary to mediastinal compression. In these patients pleural volume increases intrathoracic pressure to the point of compromising diastolic filling and cardiac output simulating a cardiac tamponade physiology. This is an uncommon yet potentially fatal medical emergency that if left untreated may progress to cardiac arrest. Early detection and rapid intervention of these patients prevents cardiorespiratory collapse. Case presentation We present a two-case report of patients presenting with malignant tension hydrothoraxes decompressed with ultrasound-guided thoracentesis and tube thoracostomy in the ED. Conclusion Although these life-saving decompressive interventions appear simple, not having proper training is an independent factor for chest tube and thoracentesis complications. Courses and simulation training can benefit physicians to minimize potential complications when managing emergency conditions such as tension hydrothoraxes which continue to be a medical challenge. Whether thoracentesis or thoracostomy is superior in managing this condition remains in debate and a clinical dilemma.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.ajem.2018.04.041
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1532-8171
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2332
dc.language.isoeng
dc.publisherW. B. Saunders Co., Ltd.spa
dc.publisher.journalAmerican Journal of Emergency Medicinespa
dc.relation.ispartofseriesAmerican Journal of Emergency Medicine, 1532-8171, Vol. 36, Nro. 8, 2018, p. 1524.e1-1524.e4spa
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0735675718303231
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf352
dc.rights.creativecommons2018
dc.rights.localAcceso cerradospa
dc.subject.decsCavidad pleuralspa
dc.subject.decsProcedimientos invasivosspa
dc.subject.decsParo cardíacospa
dc.subject.keywordsTension hydrothoraxspa
dc.subject.keywordsPleural effusionspa
dc.subject.keywordsTamponadespa
dc.subject.keywordsThoracostomyspa
dc.subject.keywordsThoracentesisspa
dc.titleTension hydrothorax: emergency decompression of a pleural cause of cardiac tamponadespa
dc.title.translatedTension hydrothorax: emergency decompression of a pleural cause of cardiac tamponade
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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