Inside the ICU🥼
January 24, 2025 at 07:47 AM
Pericardial effusion can be classified by:
* Onset (acute or subacute vs. chronic [when lasting >3months])
* Distribution (circumferential or loculated)
* Haemodynamic impact (cardiac tamponade or no cardiac tamponade)
* Composition (serous fluid, blood, rarely air, or gas from bacterial infections)
* Size based on a simple semi-quantitative echocardiographic assessment.
The size of the effusion on ECHO. indicates the volume of pericardial fluid as follows:
* Trivial (seen only in systole)
* Small (<10 mm), which corresponds to 50-100 mL pericardial fluid
* Moderate (10-20 mm), corresponding to 100-500 mL pericardial fluid
* Large (>20 mm), corresponding to >500 mL pericardial fluid
* Very large (>25 mm); usually indicates >700 mL pericardial fluid. 🏳️
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