Pericardial tamponade is an uncommon but extremely important cause of cardiogenic shock, because it is highly treatable. Unfortunately, the precise definition of tamponade can be challenging – and patients can rapidly transition from an uncomplicated pericardial effusion towards the development of tamponade.
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Just a comment on the choice of Norepi for tempoizing/stabilization while awaiting drainage. I had a patient once who was hypotensive and I thought it was a vasodilatory SIRS response thing so I started Norepi. The patient became MORE hypotensive with the addition of Norepi. This prompted me to do a quick bedside echo. It was the absolute worst case of tamponade I’ve ever seen. I figure the increased afterload just wasn’t tolerated. Maybe an extreme case. But if you know it’s tamponade why not just use Epi?
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Hi Josh
Absolutely love the IBCC!
Question: I thought venous return was Mean Systemic Pressure – LAP?
Sorry, typo, RAP