Step 1: patient and ultrasound positioning
Step 2: patient and ultrasound preparation
Step 3: thoracic ultrasound and reference points visualization
Step 4: ultrasound setting optimization
Step 5: needle insertion
Step 6: microbubble test confirmation and hemodynamic stabilization
Step 7: wire and catheter position
Step 8: pericardial drainage and monitoring
Parasternal medial-to-lateral in-plane pericardiocentesis (8 steps) by Adi Osman
