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Last updated: 02/17/2009
Cardiac tamponade and pericarditis are two primary complications that require intervention with pericardiocentesis. Cardiac tamponade has an incidence of two in 10,000 the general U.S. population. Approximately 2% of cases are attributed to injuries...
that penetrate the chest. Pericarditis is more common in males than females with a ratio of seven to three. In young adults, pericarditis is usually caused by HIV infection or a trauma injury. Malignancy or renal failure are the main causes of this disorder in the elderly.
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In medicine, pericardiocentesis is a procedure where fluid is aspirated from the pericardium (the sac enveloping the heart).
It is generally done under ultrasound guidance, to minimize complications. There are two locations that pericardiocentesis can be performed without puncturing the lungs.
One location is through the 5th or 6th intercostal space at the left sternal border at the cardiac notch of the left lung.
The other location is through the infrasternal angle.
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If you need heart surgery, you don't want a surgeon who only got a C in medical school. The same principle applies in helping people with mental illnesses.
-Ken Duckworth
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