Pericardiocentesis/Pericardial window-whats the diff? Pericardiocentesis/Pericardial window-whats the diff? | allnurses

Pericardiocentesis/Pericardial window-whats the diff?

  1. 0 Can someone shed some light on the difference between pericardiocentesis and pericardial window....

    Pericardicentesis= needle aspiration of pericardial fluid:heartbeat

    pericardial window=hmmm....

    thanks
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  2. 17 Comments

  3. Visit  XB9S profile page
    #1 0
    I've never heard of a pericardial window, I'd be interested to learn as well
  4. Visit  wtbcrna profile page
    #2 5
    Quote from Atrial Kick
    Can someone shed some light on the difference between pericardiocentesis and pericardial window....

    Pericardicentesis= needle aspiration of pericardial fluid:heartbeat

    pericardial window=hmmm....

    thanks
    It is actually just like it sounds. The surgeon goes in through the chest to open a "window" in the pericardium removes the fluid/blood to relieve the pressure and then close. These sites explain the procedure/indications/pictures etc. more in depth. http://www.ctsnet.org/doc/7673 http://www.ctsnet.org/sections/clini...t_tech-32.html
    Last edit by wtbcrna on Jun 7, '08
  5. Visit  XB9S profile page
    #3 0
    thanks WTBCRNA, that second link is excellent, it's not a procedure I have ever seen used in the UK but it was a while ago since I did cardiothoracic so may have changed now.
  6. Visit  Atrial Kick profile page
    #4 0
    much thanks.
  7. Visit  Spatialized profile page
    #5 0
    With a pericardial window, they can also leave the pericardium open, i.e. not stitch it back up again to prevent tamponade from recurring.

    The idea is the same, to relieve the pressure causing the tamponade, just the methods and techniques are different.

    Tom
  8. Visit  Rocky_RN_ profile page
    #6 0
    i believe its more common when a window is made to leave it open. At the point they switch from centesis to window its a reoccurring problem.
  9. Visit  PalmoRN profile page
    #7 0
    Hello!

    I am a new RN and I am learning alot by reading these postings!:smilecoffeeIlovecof
    I am going from being a LPN to a RN...a bit scary, too!
  10. Visit  Whisper profile page
    #8 1
    The window technique is used in the UK, needle aspiration or draini insertion is performed by the Cardiology team, and when the problem keeps recurring then a window is performed by the Cardio Thoracic surgeons.

    I've only seen patients go for windows, when the fluid is caused by rheumatic inflamation, or mets.
  11. Visit  XB9S profile page
    #9 0
    Quote from Whisper
    The window technique is used in the UK, needle aspiration or draini insertion is performed by the Cardiology team, and when the problem keeps recurring then a window is performed by the Cardio Thoracic surgeons.

    I've only seen patients go for windows, when the fluid is caused by rheumatic inflamation, or mets.
    I didn't know that, it's been so long since I did cardiac I'm getting rusty

    Thanks
  12. Visit  anurseuk profile page
    #10 0
    I'm in the UK in CT we have pericardial windows fairly often in out unit.

    http://www.ctsnet.org/sections/clini...t_tech-32.html

    Quite a good website for CT information
  13. Visit  XB9S profile page
    #11 0
    Quote from anurseuk
    I'm in the UK in CT we have pericardial windows fairly often in out unit.

    http://www.ctsnet.org/sections/clini...t_tech-32.html

    Quite a good website for CT information
    Thanks for that link it's really informative
  14. Visit  cocojambo profile page
    #12 0
    Quote from wtbcrna
    It is actually just like it sounds. The surgeon goes in through the chest to open a "window" in the pericardium removes the fluid/blood to relieve the pressure and then close. These sites explain the procedure/indications/pictures etc. more in depth. http://www.ctsnet.org/doc/7673 http://www.ctsnet.org/sections/clini...t_tech-32.html
    That is correct, the surgeon will open up a window of the Pericardium where he will operate. Here's a description of the Pericardium from the Asbestos & mesothelioma website

    The Pericardium?
    The pericardium is a double wall like sac that encloses the heart and the primary blood vessels such as pulmonary arteries & veins. The pericardium is made up of 2 layers; the fibrous pericardium and the serous pericardium. The serous pericardium is divided into 2 distinct layers; the parietal pericardium and the visceral pericardium. The visceral pericardium is the outer surface of the heart muscles while the parietal pericardium is the inner surface of heart muscles. The space between these 2 layers is called the pericardial cavity lubricated by a film of pericardial fluid. Buildup of excess fluids in this cavity can result in heart palpitations & compression of the heart.

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