Initial Pericardial Fluid Drainage Volume

Pericardial effusion refers to an abnormal accumulation of fluid within the pericardial cavity. When performing the first pericardial puncture and drainage, it is clinically recommended to proceed with caution, ensuring a slow withdrawal of fluid. The initial drainage volume should generally not exceed 100–200 milliliters. This conservative approach helps minimize the risk of complications and allows the body to adjust gradually.

Subsequent Drainage Procedures

For follow-up drainage sessions, the volume may be increased to approximately 300–500 milliliters, depending on the patient's condition and response to the initial procedure. However, continuous monitoring during the procedure remains crucial to ensure patient safety and prevent adverse effects.

Patient Monitoring During the Procedure

Throughout the drainage process, healthcare professionals must closely observe the patient for signs of discomfort such as coughing, shortness of breath, or any other unusual symptoms. If any of these occur, the procedure should be stopped immediately. Maintaining aseptic technique is also essential to reduce the risk of infection.

Post-Procedure Care

After the procedure, patients should be advised to keep the puncture site dry to prevent infection. It is also important to monitor for potential complications such as pulmonary edema or heart failure, which can occur if too much fluid is drained too quickly. Proper aftercare and follow-up are key to ensuring a smooth recovery and preventing further health issues.