Document Detail

Accidental cross-clamping of the superior vena cava: management and BIS evolution.
MedLine Citation:
PMID:  20304359     Owner:  NLM     Status:  MEDLINE    
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.
Patrick Yves Wuethrich; Hans Beat Ris; Lennart Magnusson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  22     ISSN:  1873-4529     ISO Abbreviation:  J Clin Anesth     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-22     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  139-42     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Department of Anesthesiology and Pain Treatment, Inselspital, Bern University Hospital, and University of Bern, CH-3010 Bern, Switzerland.
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MeSH Terms
Adenocarcinoma / surgery
Hemodynamics / physiology
Intraoperative Complications*
Lung Neoplasms / surgery
Superior Vena Cava Syndrome / physiopathology*,  therapy
Treatment Outcome
Vena Cava, Superior / physiology*

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