title: Tamponade a rare cause of shock in patients with pancreatitis: difficulty of diagnostic in patients with positive pressure ventilation.
abstract: The causes of hemodynamic instability in acute pancreatitis are numerous. Although pericardial effusion during pancreatitis is common, a cardiac tamponade is rarely reported. The diagnosis of compressive cardiac disorders (CDD) by echocardiography is easily reported when the patient is breathing spontaneously; it becomes difficult when the patient is assisted with positive pressure ventilation.
authors.affiliation: Service d'anesthésie réanimation, hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims, France. Electronic address: jspetit@chu-reims.fr.
authors.forename: J S
authors.initials: JS
authors.lastname: Petit
authors.forename: A
authors.initials: A
authors.lastname: Pintault
authors.forename: C
authors.initials: C
authors.lastname: Rio
authors.forename: C
authors.initials: C
authors.lastname: Lepousé
authors.forename: A
authors.initials: A
authors.lastname: Leon
authors.forename: J-M
authors.initials: JM
authors.lastname: Malinovsky
authors.forename: J-M
authors.initials: JM
authors.lastname: Malinosky
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004322:Drainage; D015150:Echocardiography, Doppler; D017809:Fatal Outcome; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging; D009102:Multiple Organ Failure / Q000150:complications / Q000628:therapy; D010195:Pancreatitis / Q000150:complications*; D010490:Pericardial Effusion / Q000628:therapy; D011175:Positive-Pressure Respiration; D012769:Shock / Q000175:diagnosis* / Q000209:etiology*; D056987:Vasoplegia / Q000209:etiology
keywords: Echocardiography; Pancreatitits; Pancréatite; Pericardial effusion; Positive pressure ventilation; Tamponade; Tamponnade; Ventilation en pression positive; Échocardiographie; Épanchement péricardique