RESUMO
We report the successful use of the MitraClip device (Abbott Vascular, Santa Clara, CA) in a 68-year-old man with posterolateral ST-elevation myocardial infarction complicated by papillary muscle rupture and cardiogenic shock.
Assuntos
Ruptura Cardíaca Pós-Infarto/cirurgia , Músculos Papilares/cirurgia , Choque Cardiogênico/cirurgia , Técnicas de Sutura/instrumentação , Idoso , Angiografia Coronária , Seguimentos , Ruptura Cardíaca Pós-Infarto/complicações , Ruptura Cardíaca Pós-Infarto/diagnóstico , Humanos , Masculino , Choque Cardiogênico/diagnóstico , Choque Cardiogênico/etiologiaRESUMO
OBJECTIVE: To achieve national consensus on standards of training, quality assurance and maintenance of competence for critical care ultrasound for intensivists and critical care trainees in Canada using recently published international training statements. DATA SOURCES: Existing internationally endorsed guidelines and expert opinion. DATA SYNTHESIS: In November 2013, a day-long consensus meeting was held with 15 Canadian experts in critical care ultrasound in which essential topics relevant to training ultrasound were discussed. CONCLUSIONS: Consensus was achieved to direct training curriculum, oversight, quality assurance and maintenance of competence for critical care ultrasound. In providing the first national guideline of its kind, these Canadian recommendations may also serve as a model of critical care ultrasound dissemination for other countries.
