Transesophageal echocardiographic features and management of retained intracardiac air in two patients after surgery

Wellford, A. Landon; Lawrie, Gerald M.; Zoghbi, William A.

doi:10.1016/s0894-7317(96)90026-7

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…Des Weiteren findet die TEE zunehmend als Monitoringverfahren bei Hochrisikopatienten und bei hämodynamischer Instabilität bei nichtkardiochirurgischen Eingriffen Anwendung [27,28]. Auch bei spezifischen operativen Komplikationsrisiken wie Zement-oder Luftembolien in der Orthopädie/Unfallchirurgie leistet die TEE einen wertvollen Beitrag zur Ursachenerkennung und Therapie [29,30]. [42].…”

Section: Patienten Mit Frailty Und Kardiovaskulärer Einschränkungunclassified

Wie können postoperative Komplikationen bei Patienten mit Frailty vermieden werden?

Mörgeli¹,

Wollersheim²,

Spies³

et al. 2017

Anästhesiol Intensivmed Notfallmed Schmerzther

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Frail patients are more prone to develop complications during and after surgery. As the syndrome becomes more common, recognition and special management of frail patients in the perioperative setting is becoming crucial to improve short- and long-term outcomes. Based on current literature and guidelines, we present a compilation of strategies that could be employed to reduce postoperative complication rates in frail patients. Due to their impaired response to stressors, potential perioperative hazards to frail patients are identified and discussed. This includes the risk of dehydration, hypothermia, cardiovascular decompensation, unusual drug reactions, and delirium. The benefits of early mobilization and nutritional support are also discussed. If frailty is detected preoperatively, thus alerting the team about the increased risk of complications, strategies can be implemented in the perioperative setting to improve the chances of successful recovery.

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Section: Patienten Mit Frailty Und Kardiovaskulärer Einschränkungunclassified

Wie können postoperative Komplikationen bei Patienten mit Frailty vermieden werden?

Mörgeli¹,

Wollersheim²,

Spies³

et al. 2017

Anästhesiol Intensivmed Notfallmed Schmerzther

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“…Open-heart surgery poses the risk of air embolization, potentially leading to dysfunction or disability in vital organs [1]. The right upper pulmonary vein is the most common site of retained air or pooled air, followed by the left ventricle, left atrium, right coronary sinus of Valsalva, and left upper pulmonary vein [2]. Mitigation strategies, including carbon dioxide surgical field flooding and "de-airing" techniques, aim to reduce the likelihood of embolization [3].…”

Section: Introductionmentioning

confidence: 99%

The Case of the "Disappearing Ventricle": A Report

Alsubahi,

Alqutub,

Alqutub

2024

Cureus

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Embolization of entrapped intracardiac air represents a significant risk to the patient undergoing open-heart surgery. Entrapment of as little as 0.5 mL of gas in the heart can cause temporary myocardial dysfunction, cardiac arrhythmias, and systemic emboli. In contrast, larger emboli can disrupt the evaluation of heart function by limiting visualization during echocardiography. We present the case of a 67-year-old male who presented with dizziness, nausea, and chest pain. A left heart catheterization revealed multi-vessel disease. Undergoing general anesthesia, the patient received three-vessel coronary artery bypass grafting, mitral valve repair, ring annuloplasty, and left atrial appendage closure. Upon aortic unclamping, transgastric echocardiography showed significant gas almost wholly obscuring the left heart chambers despite de-airing maneuvers. Successful resolution relied upon higher mean blood pressure and time, demonstrating the importance of intraoperative imaging and interdisciplinary collaboration.

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Cardiac Masses, Air, and Foreign Bodies

Orihashi¹,

Oka²

2004

Transoesophageal Echocardiography in Anaesthesia and Intensive Care Medicine

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Transesophageal echocardiographic features and management of retained intracardiac air in two patients after surgery

Cited by 7 publications

References 6 publications

Wie können postoperative Komplikationen bei Patienten mit Frailty vermieden werden?

Wie können postoperative Komplikationen bei Patienten mit Frailty vermieden werden?

The Case of the "Disappearing Ventricle": A Report

Cardiac Masses, Air, and Foreign Bodies

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