| Accidental cross-clamping of the superior vena cava: management and BIS evolution. | |
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MedLine Citation:
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PMID: 20304359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Patrick Yves Wuethrich; Hans Beat Ris; Lennart Magnusson |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 22 ISSN: 1873-4529 ISO Abbreviation: J Clin Anesth Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-22 Completed Date: 2010-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 139-42 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Anesthesiology and Pain Treatment, Inselspital, Bern University Hospital, and University of Bern, CH-3010 Bern, Switzerland. patrick.wuethrich@insel.ch |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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surgery Adult Constriction Electroencephalography* Hemodynamics / physiology Humans Intraoperative Complications* Lung Neoplasms / surgery Male Pneumonectomy Recurrence Superior Vena Cava Syndrome / physiopathology*, therapy Treatment Outcome Vena Cava, Superior / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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