Successful Management of Massive Air Embolism During Cardiopulmonary Bypass Using Multimodal Neuroprotection Strategies
| Autor: | Olga L. Quintero, Juan C. Giraldo, Néstor F Sandoval |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary valve
Embolism Psychological intervention Intracranial embolism 030204 cardiovascular system & hematology Procedures near-infrared law.invention Vacuum assisted closure 0302 clinical medicine Brain perfusion law Embolism Air Peroperative complication Transesophageal echocardiography Intraoperative Complications Intraoperative monitoring Spectroscopy Heart right ventricle Cardiopulmonary Bypass Spectroscopy Near-Infrared medicine.diagnostic_test Isoflurane Intracranial Embolism Cardiopulmonary bypass Brain embolism Mediastinum Early diagnosis Intensive care unit Neuroprotection Air embolism Fentanyl Bispectral index Diagnostic imaging intraoperative Female Cardiology and Cardiovascular Medicine Tricuspid valve regurgitation Near infrared spectroscopy Milrinone Human Adult medicine.medical_specialty Monitoring air Clinical article Oxygen saturation Physical examination Aortic clamping Article 03 medical and health sciences Young Adult Tricuspid valve repair Hemodynamic monitoring Monitoring Intraoperative Case report medicine Computer assisted tomography Humans Hyperthermia Intraoperative complications Intensive care medicine Cardiac surgical procedures Congenital heart disease Surgical team business.industry Heart septum defect medicine.disease Sternotomy Noradrenalin Heart tamponade Pulmonary artery Anesthesiology and Pain Medicine Young adult 030228 respiratory system business Complication Cerebrovascular circulation |
| Zdroj: | Repositorio EdocUR-U. Rosario Universidad del Rosario instacron:Universidad del Rosario |
| ISSN: | 1940-5596 |
| Popis: | Complications and critical events during cardiopulmonary bypass (CPB) are very challenging, difficult to manage, and in some instances have the potential to lead to fatal outcomes. Massive cerebral air embolism is undoubtedly a feared complication during CPB. If not diagnosed and managed early, its effects are devastating and even fatal. It is a catastrophic complication and its early diagnosis and intraoperative management are still controversial. This is why the decision-making process during a massive cerebral air embolism represents a challenge for the entire surgical, anesthetic, and perfusion team. All caregivers involved in this event must synchronize their responses quickly, harmoniously, and in such a way that all interventions lead to minimizing the impact of this complication. Its occurrence leaves important lessons to the surgical team that faces it. The best management strategy for a complication of this type is prevention. Nevertheless, a surgical team may ultimately be confronted with such an occurrence at some point despite all the prevention strategies, as was the case with our patient. That is why, in each institution, no effort should be spared to establish cost-effective strategies for early detection and a clear and concise management protocol to guide actions once this complication is detected. It is the duty of each surgical team to determine and clearly organize which strategies will be followed. The purpose of this case study was to demonstrate that a massive air embolism can be rapidly detected using near-infrared spectroscopy monitoring and can be successfully corrected with a multimodal neuroprotection strategy. © The Author(s) 2018. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|