| Transesophageal echocardiography for diagnosis of acute hemothorax during the insertion of hemodialysis catheter. | |
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MedLine Citation:
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PMID: 17972622 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a 45-year-old obese uremic female, who developed sudden and profound shock followed by cardiac arrest during the percutaneous insertion of a permanently cuffed and tunneled hemodialysis catheter under local anesthesia. Upon our rush to the scene for succor, inspection revealed that she was pale, comatose, and tachypneic, while her peripheral radial pulse was not felt on palpation. In addition to immediate airway management, setting up vital signs monitoring, aggressive fluid resuscitation, we promptly put transesophageal echocardiograph into use. Echocardiography revealed massive right hemothorax which severely compressed the right atrium and right ventricle. Right thoracostomic drainage tube was placed, from which massive blood was drained out, and her vital signs were restored rapidly. She was returned to ordinary ward after a 5 days' intensive care. We suggested that transesophageal echocardiography is valuable and potent in facilitating rapid, accurate differential diagnosis and in guiding proper management in such critical condition. |
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Authors:
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Hou-Cheng Peng; Su-Man Lin; Yu-Shiue Wu; Wen-Kuei Chang; Chun-Sung Sung; Kwok-Hon Chan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 45 ISSN: 1875-4597 ISO Abbreviation: - Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-11-01 Completed Date: 2007-11-20 Revised Date: 2008-04-07 |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 181-4 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Veterans General Hospital-Taipei and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Catheterization, Central Venous / adverse effects* Echocardiography, Transesophageal* Female Hemothorax / ultrasonography* Humans Middle Aged Renal Dialysis / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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