We want to thank Dr. Brock-Utne for his valuable contribution. Undoubtedly, pericardial effusion with ensuing tamponade is a possible complication of any central venous catheter with a high mortality.1 Peripherally inserted central venous lines may even carry a greater risk due to catheter tip migration with changes of arm position.2
Conclusions: Extreme VAE during seated intracranial neurosurgical procedures is infrequent. Extreme VAE-associated CO2 exchange and hemodynamic consequences from VAE were transient, recovering quickly back to baseline without significant neurological or cardiopulmonary morbidity.
Conclusions. The elevated baseline CVP, elevated baseline RVEDV after anesthesia induction, and decreased SvO2 during anhepatic phase were associated with postoperative AKI. Prospective trials are required to evaluate whether the optimization of these variables may decrease the risk of AKI after LDLT.
Authors: Strandby RB, Ambrus R, Achiam MP, Henriksen A, Goetze JP, Secher NH, Svendsen LB Abstract Purpose: Changes in plasma pro-atrial natriuretic peptide (proANP) may indicate deviations in the central blood volume (CBV). We evaluated the plasma proANP response to hypotensive hypovolemia under the influence of thoracic epidural anesthesia (TEA) in pigs. We hypothesized that plasma proANP would decrease in response to hypotensive hypovolemia and that TEA would aggravate the proANP response, reflecting a further decrease in CBV. Design: Randomized, blinded, controlled trial. Setting: A university-affiliate...
ConclusionUnder general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action.ResumoJustificativa e objetivosA cateterização da veia jugular interna guiada por ultrassom é um procedimento comum e geralmente seguro em sala cirúrgica. No entanto, a punção inadvertida de uma artéria não compressível, como a artéria subclávia, embora rara, pode estar associada a sequelas e risco para...
CONCLUSION: Under general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case report indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action. PMID: 31353065 [PubMed - as supplied by publisher]
THE USE OF ultrasound to aid in performing therapeutic interventions in the field of anesthesiology has become nearly ubiquitous. Although anesthesiologists initially championed its use for the placement of central venous catheters more than a decade ago,1 ultrasound imaging is now routinely utilized for the insertion of arterial and peripheral venous catheters, not to mention the integral role it has played in making regional anesthesia more effective, widespread, and safe. Despite this, anesthesiology has lagged behind other specialties like critical care and emergency medicine in promoting the adoption of point-of-care ...
Discussion: Target-controlled infusion of remifentanil is an effective drug to reduce pain during CVC insertion in association with lidocaine-based local anesthesia, in conscious patients.
PMID: 31274507 [PubMed - in process]
We report a rare case of inadvertent cannulation of internal carotid artery in patients of tetralogy of Fallot undergoing intracardiac repair during an attempt to cannulate internal jugular vein. PMID: 31274501 [PubMed - in process]