Early myocardial dysfunction following subarachnoid haemorrhage

McLaughlin, Nancy; Mw, Bojanowski; Denault, André

doi:10.1080/02688690500145597

Cited by 7 publications

(2 citation statements)

References 29 publications

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“…La principal razón para indicar cateterización venosa central en este tipo de pacientes fue la administración de drogas vasoactivas (92,1%). En este punto sería interesante determinar qué porcentaje de neurocirugías efectivamente requieren apoyo con drogas vasoactivas, y que en nuestra opinión corresponde a un porcentaje menor de los casos, a excepción de los cuadros de hemorragia subaracnoidea (HSA) que pueden precipitar graves complicaciones cardiovasculares [10].…”

Section: Especialista (%)unclassified

Encuesta Nacional sobre la utilización de catéter venoso central en pacientes sometidos a neurocirugía electiva en Chile

Ortega¹,

Maldonado²,

Rocco³

et al. 2018

Rev Chil Anest

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Objectives: To know, through an online survey, the usual clinical practice of Chilean anesthesiologists regarding central venous catheterization in patients undergoing elective neurosurgery. Material and Methods: An email was sent with a link to a questionnaire to anesthesiologists belonging to the Society of Anesthesiology of Chile (SACH). The questionnaire consisted of an anonymous questionnaire, with multiple-choice questions that included data referring to experience as an anesthesiologist, experience in neuroanesthesia, indication of central venous access in elective neurosurgery, access of choice, technique used, and immediate and late complications. results: A valid response was received to the online survey by 180 anesthesiologists, which represents a response rate of 50%. Only 14.4% of the respondents were classified as specialists in neuroanesthesia. The majority acces corresponded to the Internal Jugular. The main indication was the use of vasoactive drugs in 92.18%. Regarding clinical scenarios, 95.4% of respondents used a central venous route in posterior fossa surgery, while only 9.41% used it in minimally invasive surgery. 69.3% of the respondents indicated that they had presented an immediate complication related to the procedure, with arterial puncture being the most frequent with 72.1%. Protocols for perioperative management only existed in 17.8% of cases. There are no significant differences in the usual clinical practice among specialists in neuroanesthesia and general anesthesiologists in most of the items analyzed.

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Section: Especialista (%)unclassified

Encuesta Nacional sobre la utilización de catéter venoso central en pacientes sometidos a neurocirugía electiva en Chile

Ortega¹,

Maldonado²,

Rocco³

et al. 2018

Rev Chil Anest

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“…[18][19][20][21] Aneurysmal subarachnoid haemorrhage often present with haemodynamic instability and pulmonary oedema requiring vasoactive drugs. [22] This situation is associated with severe ventricular dysfunction. There may be chamber dilation depending upon the duration of problem, regional wall motion abnormalities, global reduction in systolic function and decrease in ejection fraction (EF).…”

Section: Utility Of Tee For Identification Of Cardiovascular Instability In the Operating Room And Icumentioning

confidence: 99%

Transoesophageal echocardiography: What a neuroanaesthesiologist should know?

Choudhury

2015

Journal of Neuroanaesthesiology and Critical Care

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Transoesophageal echocardiography (TEE) is a semi invasive imaging modality rapidly gained credence and popularity in the cardiothoracic centers worldwide by mid 1990s. It has also been found to be useful in some noncardiac surgical procedures, in particular in the management of neurosurgical patients and haemodynamically unstable patients in intensive care units (ICUs). The principal goal of basic transoesophageal echocardiographic examination encompass a broad range of anatomic imaging including the diagnosis of air embolism, causes of haemodynamic instability, ventricular size and function, volume status, and complications from invasive procedures, as well as the clinical impact or etiology of pulmonary dysfunction in ICU. TEE is relatively cheap and semi-invasive, but it should not be used as a stand-alone device but as a tool which provides data in addition to the data acquired from other forms of monitoring. The establishment of TEE in perioperative neuro anaesthetic care though recent, may result in a significant change in the role of the anaesthetsiologist who, using TEE can provide new information which may change the course and the outcome of surgical procedures.

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Échocardiographie et Doppler œsophagien peropératoires en chirurgie non cardiaque

Duperret¹,

Cholley²

2008

Échocardiographie Doppler Chez Le Patient en État Critique

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Early myocardial dysfunction following subarachnoid haemorrhage

Cited by 7 publications

References 29 publications

Encuesta Nacional sobre la utilización de catéter venoso central en pacientes sometidos a neurocirugía electiva en Chile

Encuesta Nacional sobre la utilización de catéter venoso central en pacientes sometidos a neurocirugía electiva en Chile

Transoesophageal echocardiography: What a neuroanaesthesiologist should know?

Échocardiographie et Doppler œsophagien peropératoires en chirurgie non cardiaque

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