Closure of pericardium?

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I have always left it open, but left it wide open to prevent herniation

________________________________

From: trauma-list-bounces at trauma.org on behalf of Ben Reynolds
Sent: Tue 8/21/2007 3:01 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Closure of pericardium?



Always, unless the heart is too edematous.  Especially
lateral pericardotomies because of the risk of cardiac
herniation.  If you are worried about tamponade, leave
a mediastinal tube.

Ben Reynolds, PA-C
Pittsburgh, PA

--- Abdullah Harthy <harthy1973 at yahoo.ca> wrote:

> I'd like to ask the group, if they usually close the
> pericardium after a repair of a cardiac injury? And
> if
> any, have noted an increase in acute or delayed
> temponade if the pericardium was closed?
>
> A. Al- Harthy
>
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