Anesthetic and airway management for interventions to treat pericardial effusion with shock

This algorithm summarizes the approach to anesthetic and airway management of an unintubated patient undergoing treatment for pericardial effusion with evidence of cardiac tamponade and shock.

It is intended for use in conjunction with other UpToDate content (refer to UpToDate's topics discussing diagnosis and management of pericardial effusion and topics discussing cardiac tamponade).

TTE: transesophageal echocardiography; PPV: positive pressure ventilation; TV: tidal volume; RR: respiratory rate.

* Conditions that might preclude inhalation induction of anesthesia include predictors of difficult endotracheal intubation, uncooperative patient, clinically significant aspiration risk, obesity, or orthopnea.

¶ Inotropic and vasopressor therapy may be necessary to maintain hemodynamic stability.

Adapted from: Grocott HP, Gulati H, Srinathan S, Mackensen GB. Anesthesia and the patient with pericardial disease. Can J Anesth 2011; 58:952.

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Anesthetic and airway management for interventions to treat pericardial effusion with shock