Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
نویسندگان
چکیده
منابع مشابه
Intra-operative cardiac monitoring by trans-oesophageal Doppler is not risk free in surgical patients.
The advancement of medical technology and future improvements in public health will lead to surgeons operating on high risk patients. One of these advances is to use intra-operative trans-oesophageal Doppler (TOD) to optimise fluid management. TOD is known to be the most effective technique for intraoperative cardiac monitoring. We report a case of a potentially life threatening complication fr...
متن کاملEarly experiences of intra-operative trans-oesophageal echocardiography (TEE) in mitral valve repair.
Whenever possible Mitral valve repair should be performed instead of Mitral valve replacement. It is important to assess the adequacy of the repair during the operation so that any corrective steps may be taken immediately. We present three cases of Mitral valve repair in which the intraoperative TEE was used to assess the adequacy of the repair. There was good correlation of the immediate post...
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I read with interest the recent letter from Jougon and colleagues [1] on oesophageal perforation after trans-oesophageal echocardiography (TOE) and agree completely with their recommendations but feel they neglected to mention one important group of patients. TOE is also used increasingly both during and after cardiac surgery and, although reported complications are low [2], sepsis may be the o...
متن کاملUtility of transesophageal echocardiography during severe hypotension in non-cardiac surgery.
BACKGROUND AND OBJECTIVES Severe and refractory hypotension is an infrequent perioperative situation during non-cardiac surgery, but determining its etiology is essential for successful management and therapy. METHODS Adults undergoing non-cardiac surgery were prospectively enrolled in this study. Severe hypotension was defined as a drop from 30% of baseline systolic arterial pressure unrespo...
متن کاملEchocardiography guided therapy for massive intra-operative pulmonary emboli during arterio-venous fistula/graft thrombectomy.
Various techniques' are currently employed for thrombectomies of the arterio-venous (AV) fistula/graft to restore flow. Sub massive or massive pulmonary emboli's have been reported following such procedures both intra-operatively and post-operatively. The hemodynamic responses depend not only on the size of the emboli's but also on the pre existing cardiac or pulmonary reserve of the patient. R...
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ژورنال
عنوان ژورنال: Indian Journal of Anaesthesia
سال: 2014
ISSN: 0019-5049
DOI: 10.4103/0019-5049.126796