[Cardiac tamponade following sternal puncture. Usefulness of ultrasound focussed assessment with sonography for trauma].
One of the aims of the medical profession is to be able to detect complications in patients during diagnostic tests and treatments. The early diagnosis of these complications can prevent a fatal outcome. The diagnosis is often based on clinical symptoms and supported by complementary tests. Diagnostic tests have been developed in the last few years that are rapid and easy to use, as well as being cost effective and minimally invasive. Focussed assessment with sonography for trauma ultrasound (echo-FAST) was introduced in the 1990s in the field of resuscitation as a test for the rapid detection of intra-abdominal and pericardial fluid in multiple injury patients, but its uses in other cases not involving trauma still raise doubts and controversy. A case is presented of a patient subjected to a sternal puncture for a bone marrow aspirate, who had a complication of a secondary cardiac tamponade, which was diagnosed early using echo-FAST.
Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España. Electronic address: mmagaldi@clinic.ub.es.
M
M
Magaldi
Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España.
A
A
Hervías
Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España.
L
L
Perelló
Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España.
J
J
Fontanals
D001707:Biopsy, Needle / Q000009:adverse effects*; D001856:Bone Marrow Examination; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D042241:Early Diagnosis; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications; D011677:Punctures / Q000009:adverse effects*; D013249:Sternum / Q000293:injuries*; D055815:Young Adult
Cardiac tamponade; Complicaciones; Complications; Ecografía focussed assessment with sonography for trauma; Focussed assessment with sonography for trauma ultrasound; Punción esternal; Sternal puncture; Taponamiento cardíaco