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Fifty-three patients were observed prospectively for the development of complications resulting from intracardiac injections ICIs received during cardiopulmonary resuscitation CPR. Although pericardial effusion was noted in six of 17 echocardiograms and a hemopericardium found in eight of 28 autopsies, cardiac tamponade was not observed.
A pneumothorax developed in one patient. None of the autopsies disclosed coronary artery or ventricular lacerations. Percutaneous puncture of the heart during CPR seldom results in serious complications. When other sites are not readily available, ICIs are safe and valid for the administration of emergency medication. Coronavirus Resource Center. All Rights Reserved. Twitter Facebook Email.
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Immediate Intracardiac Adrenaline Injection in Asystole
If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. The practice of intracardiac injection originated in the s. It was quite commonly performed throughout the s, as it was thought to be the most expeditious route of drug delivery during a cardiac arrest. Safer and simpler routes of medication administration i. Experimental data suggested that there was no advantage to intracardiac injection over intravenous administration of medications.
Feasibility of Intracardiac Injection of Drugs During Cardiac Arrest
Intracardiac injections are injections that are given directly into the heart muscles or ventricles. They are used in emergencies. The practice of intracardiac injection originated in the s. It was commonly performed during the s, as it was considered the fastest way to get medication to the heart.