Kenneth Kee

Cardiac Tamponade, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Cardiac Tamponade, Diagnosis and Treatment and Related Diseases
Cardiac tamponade is a constant pressure on the heart that happens when too much blood or fluid collects in the space between the heart muscle and the outer covering sac of the heart.
Cardiac tamponade is caused by the collection of blood, fluid, pus, clots, or gas in the pericardial space, resulting in decreased ventricular filling and subsequent hemodynamic compromise
The fluid filled pericardial cavity prevents the heart ventricles from expanding fully reducing blood flow to the body.
The heart may stop pumping and death occurs.
Causes:
Pericarditis
Trauma and surgery
Cancer of breast and lung
Heart attack
Symptoms:
Cardiac tamponade may manifest with symptoms of fast breathing, breathing problems, anxiety, restlessness, fainting, chest pain, palpitations.
Signs
1.Distended neck veins,
2.Hypotension,
3.Tachycardia,
4.Tachypnea and
5.Hepatomegaly.
6.Muffled heart sounds.
7.Pericardial friction rub - evident in 50% but may be temporary.
Diagnosis
The diagnosis of Tamponade can often be difficult.
It can be diagnosed radiographically, if time permits.
The echocardiography often demonstrates an enlarged pericardium, and a chest x-ray of a large cardiac tamponade will indicate a large, globular heart.
The medical acumen of the heart specialist plays a larger part than imaging.
The echocardiogram is the test of choice to help confirm the diagnosis
Coronary angiography may be done
Pericardiocentesis; aspirate sent for culture and cytology.
Pericardial biopsy: may sometimes be needed
Treatment

The treatment of cardiac tamponade involves both pre-hospital and hospital care.

When the cardiac output is being affected, the peripheral tissues are being starved for oxygen.
As a first aid treatment, oxygen can be given.
Prompt diagnosis and treatment is the solution to survival with cardiac tamponade.
In advanced locations, pre-hospital teams do pericardocentesis,to drain the fluid, which can be life saving.
Cardiac tamponade is an emergency disorder that requires to be treated in the hospital.
The fluid around the heart must be drained as quickly as possible.
An intervention called pericardiocentesis that makes use of a needle to remove fluid from the tissue that surrounds the heart should be done.
This requires the insertion of a needle through the skin and into the pericardium and through the chest wall, and aspirating fluid.
Often, a cannula is left in place during resuscitation, after initial drainage so that the procedure can be done again if the need occurs.
IV Fluids are given to keep blood pressure normal until the fluid can be drained from around the heart.
Medicines that raise blood pressure may also help maintain the person alive until the fluid is drained.
Oxygen may be given to help decrease the workload on the heart by decreasing tissue demands for blood flow.
Pericardiocentesis (echocardiography-guided being the intervention of choice) is the definitive treatment but may be dangerous and not alleviate symptoms in cases of small effusions linked with constrictive pericarditis such as:
a.Malignancy,
b.Autoimmune conditions and
c.Viral infection.
Hospital Treatment:
1.Oxygen
2.Volume expansion to maintain adequate intravascular volume - small boluses work best
3.Increase venous return: bed rest with leg elevation.
4.Positive inotropic drugs: e.g., dobutamine.
5.Positive-pressure mechanical ventilation should be avoided because it may reduce venous return.
Pericardiodesis: for recurrent pericardial effusion or tamponade creates a pericardial window for a catheter to drain the pericardial fluid.
Pericardio-peritoneal shunt: may help prevent recurrent tamponade

TABLE OF CONTENT
Introduction
Chapter...

---

Dieser Download kann aus rechtlichen Gründen nur mit Rechnungsadresse in A, B, CY, CZ, D, DK, EW, E, FIN, F, GR, H, IRL, I, LT, L, LR, M, NL, PL, P, R, S, SLO, SK ausgeliefert werden.

Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 7. April 2018
• Englisch
• ISBN-13: 9781370454280
• Artikelnr.: 52375647

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...