Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Accidental cross-clamping of the superior vena cava: management and BIS evolution.
Journal of Clinical Anesthesia
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.
Bispectral Index, Superior Vena Cava, Accidental Cross-Clamping, Bispectral Index, Cerebral-Ischemia, Circulatory Arrest, Catheter, Surgery
Web of science
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