[Looking for the reason of hemodynamic instability: a case report of the role of intraoperative ultrasound].
Buscando o motivo da instabilidade hemodinâmica: relato de caso sobre o papel do ultrassom intraoperatório.
Acidente de trânsito
Cardiac tamponade
Echocardiography
Ecocardiografia
Intraoperative monitoring
Monitoração intraoperatória
Tamponamento cardíaco
Traffic accident
Journal
Brazilian journal of anesthesiology (Elsevier)
ISSN: 2352-2291
Titre abrégé: Braz J Anesthesiol
Pays: Brazil
ID NLM: 101624623
Informations de publication
Date de publication:
Historique:
received:
15
05
2018
revised:
10
08
2018
accepted:
04
09
2018
pubmed:
18
1
2019
medline:
29
8
2019
entrez:
18
1
2019
Statut:
ppublish
Résumé
A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained. A 41 year-old woman suffered a car accident. At the emergency department, no abnormalities were found in ECG or chest X-ray. Abdominal ultrasound revealed the presence of abdominal free liquid and the patient was submitted to urgent exploratory laparotomy. Nevertheless, she persisted suffering arterial hypotension and metabolic acidosis. Looking for the reason of her hemodynamic instability, intraoperative transthoracic echocardiography was performed, finding out the presence of pericardial effusion. Once the cardiac surgeon extracted pericardial clots, patient's situation improved clinically and analytically. Every anesthesiologist should be able to use the intraoperative echocardiography as an effective tool in order to establish the appropriate measures to promote the survival of patients suffering severe trauma.
Sections du résumé
BACKGROUND AND OBJECTIVES
OBJECTIVE
A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained.
CASE REPORT
METHODS
A 41 year-old woman suffered a car accident. At the emergency department, no abnormalities were found in ECG or chest X-ray. Abdominal ultrasound revealed the presence of abdominal free liquid and the patient was submitted to urgent exploratory laparotomy. Nevertheless, she persisted suffering arterial hypotension and metabolic acidosis. Looking for the reason of her hemodynamic instability, intraoperative transthoracic echocardiography was performed, finding out the presence of pericardial effusion. Once the cardiac surgeon extracted pericardial clots, patient's situation improved clinically and analytically.
CONCLUSION
CONCLUSIONS
Every anesthesiologist should be able to use the intraoperative echocardiography as an effective tool in order to establish the appropriate measures to promote the survival of patients suffering severe trauma.
Identifiants
pubmed: 30651202
pii: S0034-7094(18)30229-0
doi: 10.1016/j.bjan.2018.09.012
pmc: PMC9391855
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
por
Sous-ensembles de citation
IM
Pagination
200-203Informations de copyright
Copyright © 2018 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.
Références
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pubmed: 26226863
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