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Korean J Anesthesiol. 2013 Jul;65(1):71-6. doi: 10.4097/kjae.2013.65.1.71. Epub 2013 Jul 19.

Pericardial tamponade caused by massive fluid resuscitation in a patient with pericardial effusion and end-stage renal disease -A case report-.

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  • 1Department of Anesthesiology and Pain Medicine, Hangang Sacred Heart Hospital, Seoul, Korea.

Abstract

Pericardial tamponade can lead to significant hemodynamic derangement including cardiac arrest. We experienced a case of pericardial tamponade in a patient with end-stage renal disease. Hemodynamic changes occurred by unexpectedly aggravated pericardial effusion during surgery for iatrogenic hemothorax. We quickly administered a large amount of fluids and blood products for massive bleeding and fluid deficit due to hemothorax. Pericardial effusion was worsened by massive fluid resuscitation, and thereby resulted in pericardial tamponade. Hemodynamic parameters improved just after pericardiocentesis, and the patient was transferred to the intensive care unit.

KEYWORDS:

End-stage renal disease; Hemodynamic change; Pericardial effusion; Pericardial tamponade

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