Subxiphoid pericardial window in patients with suspected traumatic pericardial tamponade.

@article{Arom1977SubxiphoidPW,
  title={Subxiphoid pericardial window in patients with suspected traumatic pericardial tamponade.},
  author={Kit V. Arom and James David Richardson and G E Webb and Frederick L. Grover and J K Trinkle},
  journal={The Annals of thoracic surgery},
  year={1977},
  volume={23 6},
  pages={545-9}
}
The technique, indications, and results of subxiphoid pericardial window in penetrating chest wounds with suspected traumatic pericardial tamponade are reported. The classic signs of pericardial tamponade (elevated central venous pressure, muffled heart sounds, and paradoxical pulse) are unreliable in an emergency situation. Chest roentgenograms and electrocardiograms are of little diagnostic value. Pericardicentesis was either falsely positive or negative in 50% of our patients. Therefore… CONTINUE READING