AACN Procedure Manual for Critical Care by Debra J. Lynn-McHale Wiegand

Author:Debra J. Lynn-McHale Wiegand [Wiegand, Debra Lynn-McHale]
Language: eng
Format: epub
ISBN: 978-1-4557-7690-0
Publisher: Elsevier Health Sciences
Published: 2011-06-14T16:00:00+00:00

• The pericardial catheter may also be left in place to allow the instillation of certain medications (i.e., nonabsorbable corticosteroid or antineoplastic agents) depending on the patient’s underlying disease state.8,12

• The indwelling pericardial catheter is usually removed within 48 to 72 hours after placement to avoid the risk of infection or iatrogenic pericarditis.13,14 The indwelling pericardial catheter may be left in place for longer periods of time to promote the resolution of a pericardial effusion or cardiac tamponade.1 Pericardial catheters are immediately removed if there is an abrupt rise in the white blood cell (WBC) level.12

• Pericardial catheters are usually removed when the total amount of drainage has decreased to less than 25 to 30 mL over the preceding 24 hours.1,13,14

• Extended catheter drainage is associated with a reduction of the re-occurrence of cardiac tamponade compared with a single pericardiocentesis in patients with pericardial effusion related to malignancy.2,3

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