ABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Pulmonary Valve/abnormalities , Pulmonary Valve/physiology , Catheters , Renal Insufficiency/metabolism , Renal Insufficiency/pathology , Renal Dialysis/methods , Pulmonary Valve/injuries , Pulmonary Valve/metabolism , Catheters/classification , Renal Insufficiency/rehabilitation , Renal Insufficiency/surgery , Renal DialysisABSTRACT
La hipotermia terapéutica es un tratamiento efectivo para la protección neurológica tras parada cardíaca extrahospitalaria, y podría ser beneficiosa también en la parada cardíaca intrahospitalaria. Su utilización en pacientes posquirúrgicos es limitada debido al riesgo incrementado de complicaciones específicas, especialmente de hemorragia. Existen diferencias en los tiempos de hipotermia terapéutica empleados, tanto para alcanzar la temperatura objetivo, como en la duración de la terapia, por lo que la estrategia óptima todavía está por determinar. Presentamos un caso de utilización de hipotermia terapéutica durante 48 h tras una parada cardíaca, en el contexto de drenaje quirúrgico de un derrame pericárdico severo con compromiso hemodinámico (AU)
Therapeutic hypothermia is an effective treatment for neurological protection after out-of-hospital cardiac arrest, and may also be beneficial for in-hospital cardiac arrest. Its use is limited in post-surgical patients due to the risk of specific complications, particularly bleeding. There are significant differences among previous publications regarding the time to reach the target temperature and the duration of therapy, so the optimal strategy is not yet established. We present the case of a patient who suffered a perioperative cardiac arrest related to a pericardial tamponade, and who underwent therapeutic hypothermia for 48 h (AU)
Subject(s)
Humans , Male , Middle Aged , Hypothermia/drug therapy , Hypothermia/surgery , Pericardial Effusion/drug therapy , Pericardial Effusion/therapy , Heart Arrest/drug therapy , Cardiac Tamponade/drug therapy , /trends , Isoproterenol/therapeutic use , Neurophysiology/methodsABSTRACT
Acute esophagic necrosis or black esophagus is an uncommon clinical entity that owes its name to the endoscopic view of the necrotic esophageal mucosa. It is always related with a critical medical condition and usually has an ischemic etiology. We report the first case of acute esophageal necrosis after a spinal anesthetic for partial hip joint arthroplasty. We discuss the underlying pathophysiological mechanisms (AU)
La necrosis esofágica aguda o esófago negro es una entidad clínica infrecuente que debe su nombre al aspecto necrótico de la mucosa esofágica observado durante una endoscopia digestiva alta. Se relaciona siempre con estados clínicos de gravedad y su etiología es habitualmente isquémica. Presentamos el primer caso de necrosis esofágica aguda tras anestesia subaracnoidea para la realización de una artroplastia parcial de cadera. Se discuten los mecanismos fisiopatológicos subyacentes (AU)
Subject(s)
Humans , Female , Aged, 80 and over , Anesthesia , Necrosis/chemically induced , Necrosis/complications , Hypotension/complications , Hypotension/diagnosis , Hypotension/drug therapy , Esophagus , Hemorrhage/complications , Hemorrhage/drug therapy , Risk Factors , Esophageal Perforation/complications , Esophageal Perforation/drug therapyABSTRACT
Therapeutic hypothermia is an effective treatment for neurological protection after out-of-hospital cardiac arrest, and may also be beneficial for in-hospital cardiac arrest. Its use is limited in post-surgical patients due to the risk of specific complications, particularly bleeding. There are significant differences among previous publications regarding the time to reach the target temperature and the duration of therapy, so the optimal strategy is not yet established. We present the case of a patient who suffered a perioperative cardiac arrest related to a pericardial tamponade, and who underwent therapeutic hypothermia for 48h.
Subject(s)
Drainage , Hypothermia, Induced/methods , Pericardial Effusion/surgery , Postoperative Complications/therapy , Adenocarcinoma/complications , Adenocarcinoma/diagnosis , Carcinoma, Bronchogenic/complications , Carcinoma, Bronchogenic/diagnosis , Cardiac Tamponade/etiology , Cardiovascular Agents/therapeutic use , Drug Therapy, Combination , Electric Countershock , Emergencies , Heart Arrest/etiology , Heart Arrest/therapy , Heart Diseases/complications , Heart Diseases/drug therapy , Humans , Lung Neoplasms/complications , Lung Neoplasms/diagnosis , Male , Middle Aged , Neoplasms, Unknown Primary/complications , Neoplasms, Unknown Primary/diagnosis , Pericardial Effusion/complications , Pericardiectomy , Pneumonia, Pneumococcal/complications , Postoperative Complications/etiology , Reperfusion Injury/etiology , Respiration, Artificial , Time Factors , Water-Electrolyte Imbalance/complicationsABSTRACT
Acute esophagic necrosis or black esophagus is an uncommon clinical entity that owes its name to the endoscopic view of the necrotic esophageal mucosa. It is always related with a critical medical condition and usually has an ischemic etiology. We report the first case of acute esophageal necrosis after a spinal anesthetic for partial hip joint arthroplasty. We discuss the underlying pathophysiological mechanisms.
