Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/69795
Title: Buscando o motivo da instabilidade hemodinâmica: relato de caso sobre o papel do ultrassom intraoperatório
Other Titles: Looking for the reason of hemodynamic instability: a case report of the role of intraoperative ultrasound
Authors: Becerra Bolaños, Ángel 
Trujillo, Héctor
Valencia, Lucía
Rodríguez Pérez, Aurelio 
UNESCO Clasification: 320501 Cardiología
Keywords: Acidente de trânsito
Monitoração intraoperatória
Ecocardiografia
Tamponamento cardíaco
Traffic accident, et al
Issue Date: 2019
Journal: Revista Brasileira de Anestesiologia 
Abstract: Background and objectives: A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained. Case report: A 41 year‐old woman suffered a car accident. At the emergency department, no abnormalities were found in ECG or chest X‐ray. Abdominal ultrasound revealed the presence of abdominal free liquid and the patient was submitted to urgent exploratory laparotomy. Nevertheless, she persisted suffering arterial hypotension and metabolic acidosis. Looking for the reason of her hemodynamic instability, intraoperative transthoracic echocardiography was performed, finding out the presence of pericardial effusion. Once the cardiac surgeon extracted pericardial clots, patient's situation improved clinically and analytically. Conclusion: Every anesthesiologist should be able to use the intraoperative echocardiography as an effective tool in order to establish the appropriate measures to promote the survival of patients suffering severe trauma.
URI: http://hdl.handle.net/10553/69795
ISSN: 0034-7094
DOI: 10.1016/j.bjan.2018.09.012
Source: Brazilian Journal of Anesthesiology [ISSN 0034-7094], v. 69 (2), p. 200-203
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