Lung recruitment maneuvers: Opening the door to a hidden enemy
| Autor: | Ricard Navarro-Ripoll, J.L. Aliaga Medina, J.M. Perdomo Linares, A. López Hernández, M. López-Baamonde |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Population General Medicine 030204 cardiovascular system & hematology Return of spontaneous circulation medicine.disease Air embolism 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030202 anesthesiology Ventricle Internal medicine Pulseless electrical activity medicine Cardiology Patent foramen ovale Complication education business Shunt (electrical) |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 67:99-102 |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2019.10.005 |
| Popis: | Recruitment manoeuvres (RM) are common practice in anaesthesiology; however, they can have adverse effects. We present an unforeseen complication in a patient undergoing surgical resection of a bronchial tumour who presented cardiac arrest due to pulseless electrical activity immediately after RMs. A transoesophageal echocardiogram performed after return of spontaneous circulation showed a patent foramen ovale (PFO), left ventricular dysfunction with segmental changes, and air in the left ventricle, leading to suspicion of paradoxical air embolism. The contractility changes normalised spontaneously, and postoperative evolution was uneventful. RMs cause changes in intracavitary pressures that can lead to opening of a PFO (present in up to 30% of the population) and reversal of the physiological left-right shunt. Transoesophageal echocardiography facilitated immediate diagnosis and follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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