A REBOA Complication: EtCO2 Is Not Just a Marker of Cardiac Output
| Autor: | Pierre-Julien Cungi, Jean-Philippe Avaro, Julien Bordes, Michael Cardinale |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cardiac output Resuscitation business.industry medicine.medical_treatment Trauma center Perforation (oil well) General Medicine 030204 cardiovascular system & hematology Balloon 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Catheter 0302 clinical medicine Occlusion medicine Thoracotomy Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery. 73:571-573 |
| ISSN: | 0890-5096 |
| Popis: | We describe an as yet undescribed complication, namely, the perforation of the balloon at a distance from its introduction and the use of EtCO2 to suspect the diagnosis. Following a high-kinetic motorcycle accident, a 25-year-old patient was admitted in our level 1 trauma center, and benefited from a resuscitation thoracotomy followed by a REBOA catheter in zone 3. The use of a small caliber introducer could be responsible for balloon injury. EtCO2 is not only a marker of cardiac output and its sudden increase in this situation should raise questions about the recirculation of ischemia product and therefore the effectiveness of the occlusion balloon. |
| Databáze: | OpenAIRE |
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