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1.
Korean Journal of Anesthesiology ; : 165-168, 2000.
Artículo en Coreano | WPRIM | ID: wpr-66543

RESUMEN

There have been numerous reports of complications associated with central venous catheterization. These are pneumothorax, hemothorax, nerve injury, and so on. These complications can occur more frequently with the subclavian approach than with the internal jugular approach in inexperienced hands. We report a rare complication, cardiac tamponade, which occurred during subclavian venous catheterization. A 44 year-old woman was scheduled for left pneumonectomy due to a tuberculosis destroyed lung. The first trial of subclavian venous catheterization was failed because of the arterial puncture. The internal jugular vein was cannulated successfully. Just after catheterization, sudden hypotension and tachycardia developed and persisted with vasopressors. An emergent left thoracotomy and pericardiostomy to evacuate massive hematoma confirmed the diagnosis, cardiac tamponade. This case suggests that central catheterization should be done carefully and it is better to avoid using the subclavian vein when there is radiological evidence of abnormal cardiac anatomy or great vessels due to a destroyed lung.


Asunto(s)
Adulto , Femenino , Humanos , Taponamiento Cardíaco , Cateterismo , Cateterismo Venoso Central , Catéteres , Catéteres Venosos Centrales , Diagnóstico , Mano , Hematoma , Hemotórax , Hipotensión , Venas Yugulares , Pulmón , Técnicas de Ventana Pericárdica , Neumonectomía , Neumotórax , Punciones , Vena Subclavia , Taquicardia , Toracotomía , Tuberculosis
2.
Korean Journal of Anesthesiology ; : 167-171, 1997.
Artículo en Coreano | WPRIM | ID: wpr-22000

RESUMEN

We managed three cases of anesthesia for living related liver transplantation from December 1994 to July 1995. Donors were recipient's parents and two of them were 35-year old man, the other was 25-year-old woman. The recipients were suffered from congenital liver diseases (two of them were diagnosed as biliary atresia and the other Byler's disease). They had presented severe jaundice and cholangitis and their mean age & body weight were 15 +/- 4.9 months and 8.6 +/- 1.22 kg, respectively. Average duration of anesthesia was about 15 hours, and anhepatic time was 140 minutes, 80 m inutes and 50 minutes, respectively. Careful attention was paid to body temperature, serum potassium, ionized calcium, blood coagulation function, as well as to general condition and respiratory function. Hemodynamic value was relatively stable through out the operation and postoperative mechanical ventilatory support was required for about 3 days.


Asunto(s)
Adulto , Niño , Femenino , Humanos , Anestesia , Atresia Biliar , Coagulación Sanguínea , Temperatura Corporal , Peso Corporal , Calcio , Colangitis , Hemodinámica , Ictericia , Hepatopatías , Trasplante de Hígado , Hígado , Padres , Potasio , Donantes de Tejidos
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