Cathétérisme artériel accidentel lors de la pose d'une voie centrale par abord jugulaire interne [Accidental arterial catheterization during insertion of a central line for internal jugular access].
Détails
ID Serval
serval:BIB_A45976EF6BBA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Cathétérisme artériel accidentel lors de la pose d'une voie centrale par abord jugulaire interne [Accidental arterial catheterization during insertion of a central line for internal jugular access].
Périodique
Revue Médicale Suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
2
Numéro
55
Pages
612-613
Langue
français
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVE: Sildenafil has a well established pulmonary vasodilatory effect, but has seldom been used in critically ill patients. We report a case of severe recurrent pulmonary embolism in which sildenafil was used as a rescue therapy.
RESULTS: After oral administration of 50 mg of sildenafil, cardiac index increased from 2.11/min/m(2) to 3.21/min/m(2); mean pulmonary artery pressure decreased from 56 mmHg to 46 mmHg, and pulmonary vascular resistance index decreased from 700 dynes/cm(-5)/m(2) to 425 dynes/cm(-5)/m(2), without reduction of arterial systemic pressure. Clinical condition also improved during the following days under treatment of 50 mg sildenafil three times daily.
CONCLUSIONS: These observations should stimulate studies with sildenafil in the ICU setting. Sildenafil is easy to administer in every ICU and at any time. If its potential is confirmed, it may be a life-saving drug in some emergency situations caused by severe pulmonary hypertension.
RESULTS: After oral administration of 50 mg of sildenafil, cardiac index increased from 2.11/min/m(2) to 3.21/min/m(2); mean pulmonary artery pressure decreased from 56 mmHg to 46 mmHg, and pulmonary vascular resistance index decreased from 700 dynes/cm(-5)/m(2) to 425 dynes/cm(-5)/m(2), without reduction of arterial systemic pressure. Clinical condition also improved during the following days under treatment of 50 mg sildenafil three times daily.
CONCLUSIONS: These observations should stimulate studies with sildenafil in the ICU setting. Sildenafil is easy to administer in every ICU and at any time. If its potential is confirmed, it may be a life-saving drug in some emergency situations caused by severe pulmonary hypertension.
Mots-clé
Carotid Artery Injuries/etiology, Catheterization, Central Venous/adverse effects, Humans, Jugular Veins
Pubmed
Création de la notice
31/07/2014 14:11
Dernière modification de la notice
24/09/2019 5:26
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