Loss of a right radial arterial pressure tracing during thoracic aortic aneurysm repair
| Autor: | Richard J. Laborde, W. Sherman Turnage |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Subclavian Artery Hemodynamics Aorta Thoracic Arterial Occlusive Diseases Blood Pressure Constriction Pathologic Thoracic aortic aneurysm Aneurysm Monitoring Intraoperative medicine.artery Catheterization Peripheral medicine Humans Radial artery Intraoperative Complications Brachiocephalic Trunk Aged Aorta Aortic Aneurysm Thoracic business.industry Blood flow Arterial catheter medicine.disease Constriction Surgery Carotid Arteries Anesthesiology and Pain Medicine Blood pressure Pulsatile Flow Radial Artery cardiovascular system Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 9:431-434 |
| ISSN: | 1053-0770 |
| DOI: | 10.1016/s1053-0770(05)80100-4 |
| Popis: | C ONTINUAL measurement of the arterial blood pressure is an essential component of monitoring during anesthesia. 1 In most cardiovascular procedures, effective control of the hemodynamic state requires contmuous measurement of the arterial blood pressure by direct cannulation of a peripheral artery. In thoracic aortic surgery, the challenge is to find a peripheral artery that will provide for continuous arterial blood pressure during the period the aorta will be cross-clamped. Generally, the right radial artery is preferred during the repair of descending aortic aneurysms because it may be necessary to crossclamp the aorta above the origin of the left subclavian artery, thereby eliminating blood flow to the left radial artery. 2 The authors encountered a patient who had a right radial arterial catheter in place during a descending thoracic aortic aneurysm repair, but the pressure tracing was lost during clamping of the aorta proximal to the left subclavian artery. In this report, the possible causes of this phenomenon and the management are described. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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