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

Détails

ID Serval
serval:BIB_47B6695B32C6
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
Titre
Accidental cross-clamping of the superior vena cava: management and BIS evolution.
Périodique
Journal of Clinical Anesthesia
Auteur(s)
Wuethrich Patrick Yves, Ris Hans Beat, Magnusson Lennart
ISSN
1873-4529[electronic], 0952-8180[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
22
Numéro
2
Pages
139-142
Langue
anglais
Résumé
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.
Mots-clé
Bispectral Index, Superior Vena Cava, Accidental Cross-Clamping, Bispectral Index, Cerebral-Ischemia, Circulatory Arrest, Catheter, Surgery
Pubmed
Web of science
Création de la notice
27/04/2010 15:37
Dernière modification de la notice
03/03/2018 16:50
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