Accidental cross-clamping of the superior vena cava: management and BIS evolution.

Details

Serval ID
serval:BIB_47B6695B32C6
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Accidental cross-clamping of the superior vena cava: management and BIS evolution.
Journal
Journal of Clinical Anesthesia
Author(s)
Wuethrich Patrick Yves, Ris Hans Beat, Magnusson Lennart
ISSN
1873-4529[electronic], 0952-8180[linking]
Publication state
Published
Issued date
2010
Volume
22
Number
2
Pages
139-142
Language
english
Abstract
The case of a 38-year old man with recurrent adenocarcinoma of the right lung and infiltration of the thoracic wall, who underwent a right pneumonectomy with thoracic wall resection, is described. Dissection of the right pulmonary hilous was extremely difficult due to the previous operations. The superior vena cava (SVC) was accidentally ligated, resulting in profound hypotension and increased venous pressure in the internal jugular vein. Immediate blood aspiration through a 8.5-French introducer sheath lowered the venous congestion. After the SVC was cross-clamped, the Bispectral Index (BIS) acutely decreased to 0 and remained low during the resuscitation. Over the next 5 hours, BIS was directly affected by mean arterial pressure. Four days postoperatively, the patient was neurologically intact.
Keywords
Bispectral Index, Superior Vena Cava, Accidental Cross-Clamping, Bispectral Index, Cerebral-Ischemia, Circulatory Arrest, Catheter, Surgery
Pubmed
Web of science
Create date
27/04/2010 14:37
Last modification date
20/08/2019 13:54
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