Echocardiographic Identification and Management of Pericardial Effusion

In this course, Elliot Elias, M.D., discusses management of pericardial effusion, guidelines for pericardiocentesis and echocardiographic assessment of cardiac tamponade. A simulation follows with instructions from Alex Powell, M.D., and Brian Schiro, M.D. on how to perform a pericardiocentesis under ultrasound guidance. 

Target Audience

Critical Care Physicians, Emergency Medicine Physicians, Intensivist, Hospitalist, Cardiologist, Interventional Cardiologist, Interventional Radiologist, Cardiothoracic Surgeon, Physicians Assistants, Advanced Practice Registered Nurses, Nurses, Echocardiography technicians, Interventional radiology and interventional cardiology (cath lab) technologists.

Learning Objectives

  • Identify a pathway for management of pericardial effusion. 
  • Explain risks and considerations when considering pericardiocentesis for your patients. 
  • Interpret echocardiographic findings of cardiac tamponade.
  • Perform a pericardiocentesis with ultrasound guidance.
Additional information
Bibliography: 
  • Cardioserv. (2022, October 1). 6 clues to determining presence of cardiac tamponade. 
  • Klein, A. L., Abbara, S., Agler, D. A., Appleton, C. P., Asher, C. R., Hoit, B., ... & White, R. D. (2013). American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. Journal of the American Society of Echocardiography, 26(9), 965-1012.
  • Alerhand, S., Adrian, R. J., Long, B., & Avila, J. (2022). Pericardial tamponade: A comprehensive emergency medicine and echocardiography review. The American Journal of Emergency Medicine, 58, 159-174.
Course Summary
Available credit: 
  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
05/01/2024
Course expires: 
04/30/2027

Alex Powell, M.D.  
Medical Director, Interventional Radiology
Baptist Health Miami Cardiac & Vascular Institute
Miami, Florida

Brian Schiro, M.D., RPVI, FSIR
Medical Director, Noninvasive Lab, Baptist Hospital
Vascular and Interventional Radiologist
Baptist Health Miami Cardiac & Vascular Institute
Miami, Florida

Elliott J. Elias, M.D., MPH, FACC, FASE
Cardiologist
Medical Director of Cardiac and Structural Imaging
Baptist Health Miami Cardiac & Vascular Institute
Miami, Florida

Kevin Nicholas, MSN, RN, CV-BC
Corporate Director MCVI Clinical Operations
Baptist Health Miami Cardiac and Vascular Institute
Miami, Florida

Marcus St. John, M.D.
Interventional Cardiologist
Baptist Health Miami Cardiac and Vascular Institute
Miami, Florida
             
Elliott Elias, M.D., faculty for this educational activity, is a consultant for Boston Scientific, Abbott Vascular, Edwards Life Sciences, and Philips Ultrasound. He has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Alex Powell, M.D. faculty for this educational activity, is a consultant for Penumbra. He has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Brian Schiro, M.D., faculty for this educational activity, is a consultant for Philips Ultrasound and is on the speakers’ bureau with Penumbra, Medtronic and Cook. He has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Kevin Nicholas, MSN, RN-CV-BC, faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentations or discussions will not include off-label or unapproved product usage.

Marcus St. John, M.D., conference director for this educational activity, is on the speakers’ bureau with Zoll. He has indicated that the presentation or discussion will not include off-label or unapproved product usage.  

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.



American Board of Surgery - Accredited CME - General Surgery

Successful completion of this CME activity enables the learner to earn credit toward the CME requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. 

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Please login or register for a Baptist Health CME account to take this course.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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