Pericardial Tamponade Dialysis — ESENeph MCQ

Instant feedback + full explanation. One question, done properly.

ModerateHaemodialysisPericardial Tamponade DialysisESENeph

A 65-year-old man with CKD G5D on haemodialysis develops acute pericardial tamponade with Beck's triad (hypotension, raised JVP, muffled heart sounds). What is the immediate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Urgent pericardiocentesis

Pericardial tamponade is a medical emergency requiring urgent pericardiocentesis regardless of the underlying cause. This is a life-saving procedure that must not be delayed. While uraemic pericarditis is best treated with intensified dialysis, tamponade requires immediate drainage. After stabilisation, intensive daily haemodialysis should be commenced using heparin-free or minimal-heparin protocols to prevent recurrence.

Reference: ERC 2021 – Advanced Life Support; ESC 2015 – Pericardial Diseases