Related Experiment Video
Updated: Mar 15, 2026
07:20
Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model
Published on: February 10, 2023
1.8K
Cardiovascular collapse with attempted pericardial drain withdrawal
Molly B Kraus1, Rachel A Spitznagel1, Jane A Kugler1
1Children's Hospital and Medical Center, University of Nebraska Medical Center, Omaha, NE, USA.
Annals of Pediatric Cardiology
|September 15, 2016
Summary
Pediatric cardiac tamponade can lead to cardiovascular collapse during pericardial drain removal. This case highlights a rare complication following treatment for renal failure-induced cardiac tamponade in a child.
Area of Science:
- Pediatrics
- Cardiology
- Nephrology
Background:
- Cardiac tamponade is a critical pediatric emergency requiring fluid drainage via a pericardial drain.
- Renal failure can precipitate cardiac tamponade in children, necessitating prompt intervention.
Observation:
- A 4-year-old girl presented with cardiac tamponade due to renal failure.
- Following successful pericardial fluid evacuation, the patient experienced cardiovascular collapse during drain removal.
Findings:
- The case demonstrates an atypical cause of cardiovascular collapse linked to the blind removal of a pericardial drain.
- This suggests potential hemodynamic instability or adherence issues post-drainage.
Implications:
- Highlights the need for careful and potentially image-guided pericardial drain removal in pediatric patients.
- Underscores the importance of considering drain-related complications in pediatric cardiovascular collapse.
- Informs clinical practice regarding the management of pediatric cardiac tamponade and drain management.
More Related Videos
Related Concept Videos
01:17Pericarditis III: Medical Management
475
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
475
01:25Pericarditis IV: Nursing Management
516
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
516
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
413
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
413
01:30Cardiomyopathy II: Dilated Cardiomyopathy
705
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
705
01:19Pericarditis II: Clinical Features and Diagnostic Tests
464
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
464
01:26Pneumothorax-I
1.9K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.9K