RESUMO
In shock syndromes, cannulation of the central veins has become standard practice. The procedure, although valuable, is not completely innocuous. Fatal complications as a result of perforation of the sinus coronarius with resultant cardiac tamponade, and a laceration of the subclavian artery are described, in addition to the previously reported complications encountered during such monitoring. It is of vital importance that the procedure be prescribed and supervised only by those who are thoroughly skilled in its use and that there be awareness of the early symptoms of cardiac tamponade when a venous catheter is in situ.
Assuntos
Cateterismo/efeitos adversos , Pressão Venosa Central , Idoso , Tamponamento Cardíaco/etiologia , Vasos Coronários/lesões , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gânglio Estrelado/lesõesRESUMO
A case report is presented which illustrates the use of sodium nitroprusside to control blood pressure levels during neurolept anaesthetic technique for removal of phaeochromocytoma. In this case the evanescent action of nitroprusside was advantageous since when the drug was discontinued elevation of blood pressure gave rise to suspicion that further catecholamine-secreting tumour was present. In all, four such tumours were removed from this patient.
