Usability of Esophageal Doppler for Monitoring of Concealed Retroperitoneal Hemorrhage during Laparoscopy Assisted Subtotal Gastrectomy / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 134-138, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-653965
ABSTRACT
Hemodynamic monitoring is an essential element in the management of perioperative patients. In addition, anesthesiologists routinely used blood pressure (invasive or non invasive), heart rate, urinary output and central venous pressure as monitoring modalities. Esophageal doppler monitoring, as a minimally invasive hemodynamic assessment tool, has a good correlation with pulmonary artery catheterization in measuring cardiac output. We experienced a case of concealed retroperitoneal hemorrhage in a patient who underwent a laparoscopic subtotal gastrectomy. When surgeons tried to close trocar sites, the patient's blood pressure dropped rapidly. At laparoscopy, we could not find gross bleeding. However, we could detect hypovolemia by esophageal doppler monitoring (CardioQ, Deltex(TM), UK). The procedure was converted to open laparotomy. Thereafter, we could find retroperitoneal hemorrhage, and vascular repair was done successfully. The patient recovered without any other complications.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Instrumentos Cirúrgicos
/
Pressão Sanguínea
/
Cateterismo de Swan-Ganz
/
Débito Cardíaco
/
Pressão Venosa Central
/
Laparoscopia
/
Hipovolemia
/
Gastrectomia
/
Frequência Cardíaca
/
Hemodinâmica
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2012
Tipo de documento:
Artigo
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