Document Detail

Blunt cardiac injury and intraoperative hypoxaemia.
MedLine Citation:
PMID:  8403115     Owner:  NLM     Status:  MEDLINE    
A 28-yr-old man sustained blunt chest trauma in a motor vehicle accident. Severe intraoperative hypoxaemia occurred, unresponsive to oxygen and positive expiratory pressure therapy. Trans-oesophageal echocardiography revealed myocardial contusion and tricuspid valve rupture. Dobutamine improved left ventricular function and ejection fraction resulting in an immediate improvement in arterial oxygenation and saturation. Tricuspid injury and the diagnosis of myocardial contusion are discussed. The case highlights the importance of a non-pulmonary mechanism of hypoxaemia.
G Kantor; J H Devitt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  40     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-10-28     Completed Date:  1993-10-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  515-7     Citation Subset:  IM    
Department of Anaesthesia, Sunnybrook Health Science Centre, University of Toronto, Ontario.
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MeSH Terms
Accidents, Traffic*
Anoxia / therapy*
Fatal Outcome
Heart Injuries / etiology,  surgery*
Intraoperative Complications / therapy*
Wounds, Nonpenetrating / etiology,  surgery*

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