Document Detail


Combined severe myocardial and pulmonary contusion: early diagnosis with transesophageal echocardiography and management with high-frequency jet ventilation: case report.
MedLine Citation:
PMID:  8483194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 27-year-old patient with blunt thoracic trauma in whom transesophageal echocardiography enabled an early diagnosis of severe myocardial contusion. Conventional mechanical ventilation dramatically enhanced cardiogenic shock because of myocardial contusion, requiring increasing doses of catecholamine. High-frequency jet ventilation produced an immediate improvement in hemodynamic status, permitting a decrease in catecholamine administration.
Authors:
G Orliaguet; Y Jacquens; B Riou; F Le Bret; J J Rouby; P Viars
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  34     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-06-01     Completed Date:  1993-06-01     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  455-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology and Critical Care, C.H.U. Pitié-Salpêtriere, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Output, Low / etiology
Contusions / physiopathology,  therapy,  ultrasonography*
Echocardiography / methods*
Heart Injuries / physiopathology,  therapy,  ultrasonography*
Hemodynamics
High-Frequency Jet Ventilation*
Humans
Lung Injury*
Male
Multiple Trauma* / physiopathology,  therapy,  ultrasonography
Wounds and Injuries / physiopathology,  therapy,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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