Cardiac tamponade following sternal puncture. Usefulness of ultrasound focussed assessment with sonography for trauma

• Published in: Revista española de anestesiología y reanimación Vol. 61; no. 3; p. 162
• Main Authors: Magaldi, M, Hervías, A, Perelló, L, Fontanals, J
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.03.2014
• Subjects: Biopsy, Needle - adverse effects; Bone Marrow Examination; Cardiac Tamponade - diagnostic imaging; Cardiac Tamponade - etiology; Early Diagnosis; Female; Hemorrhage - etiology; Humans; Leukemia, Myeloid, Acute - complications; Punctures - adverse effects; Sternum - injuries; Young Adult; Sternal puncture; Punción esternal; Complications; Cardiac tamponade; Complicaciones; Focussed assessment with sonography for trauma ultrasound; Taponamiento cardíaco; Ecografía focussed assessment with sonography for trauma
• ISSN: 2340-3284
• DOI: 10.1016/j.redar.2012.11.015

One of the aims of the medical profession is to be able to detect complications in patients during diagnostic tests and treatments. The early diagnosis of these complications can prevent a fatal outcome. The diagnosis is often based on clinical symptoms and supported by complementary tests. Diagnostic tests have been developed in the last few years that are rapid and easy to use, as well as being cost effective and minimally invasive. Focussed assessment with sonography for trauma ultrasound (echo-FAST) was introduced in the 1990s in the field of resuscitation as a test for the rapid detection of intra-abdominal and pericardial fluid in multiple injury patients, but its uses in other cases not involving trauma still raise doubts and controversy. A case is presented of a patient subjected to a sternal puncture for a bone marrow aspirate, who had a complication of a secondary cardiac tamponade, which was diagnosed early using echo-FAST.