Subxiphoid Pericardial Window
Synonyms
Definition
Subxiphoid pericardial window is a surgical procedure designed to evaluate for the presence or absence of blood in the pericardial sac. Its purpose is to surgically approach the pericardium and under direct vision, incise it to ascertain if blood is present in the pericardial sac. It is usually employed as a diagnostic tool in penetrating injury, but may be warranted in blunt trauma.
Presentation
Any patient that sustains a penetrating injury in an area inferior to the clavicles, superior to the costal margins, and medial to the midclavicular lines should be suspected of harboring a cardiac injury. This technique evaluates the presence or absence of blood in the pericardium; it is indicated for suspected trauma in proximity to the heart.
Application
Subxiphoid pericardial window should be performed in an operating room under general anesthesia. As is routine with all trauma patients, the patient’s entire torso is prepared from neck to mid-thighs....
References
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