Document Detail

Successful conservative management with positive end-expiratory pressure for massive haemothorax complicating pacemaker implantation.
MedLine Citation:
PMID:  17467866     Owner:  NLM     Status:  MEDLINE    
Haemothorax resulting from injury to a great vessel is a potential complication during transvenous pacemaker implantation that can be caused by perforation by the electrode. If the amount of bleeding is massive, control needs thoracotomy. We report on a 70-year-old man who had a massive haemothorax following transvenous pacemaker implantation. This complication was controlled successfully by using positive end-expiratory pressure (PEEP). We conclude that this simple but reproducible experience may offer effective haemostasis for a massive haemothorax caused by transvenous catheter perforation.
Chao-Han Lai; Ju-Yi Chen; Hsuan-yin Wu; Jih-Sheng Wen; Yu-Jen Yang
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-04-30
Journal Detail:
Title:  Resuscitation     Volume:  75     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-03     Completed Date:  2008-02-27     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  189-91     Citation Subset:  IM    
Division of Cardiovascular Surgery, Department of Surgery, National Chen Kung University Hospital, Tainan, Taiwan.
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MeSH Terms
Atrial Fibrillation / therapy
Catheterization, Central Venous / adverse effects*
Electrodes, Implanted / adverse effects*
Hemothorax / etiology*,  therapy*
Positive-Pressure Respiration*
Prosthesis Implantation / adverse effects*

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

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