Delayed diagnosis of vascular injuries during lumbar discectomy.
J Clin Anesth
; 12(1): 64-6, 2000 Feb.
Article
em En
| MEDLINE
| ID: mdl-10773512
ABSTRACT
We report an accidental perforation of the left iliac artery and vein during lumbar discectomy in the kneeling position. During the surgical procedure, a brief and transient hypotension occurred, although the surgeon did not observe any abnormal bleeding in the operating field. In the recovery room, arterial blood pressure decreased, and tachycardia, pallor, and abdominal pain occurred. Retroperitoneal bleeding was suspected. Immediate fluid resuscitation was initiated, anesthesia was continued, and red blood cells were ordered. The use of medical antishock trousers enabled temporization until vascular surgeons were ready. An emergent laparotomy was performed to repair vascular injuries. The delayed symptoms, use of medical antishock trousers, and implications for anesthetists are discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Discotomia
/
Artéria Ilíaca
/
Veia Ilíaca
/
Vértebras Lombares
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Clin Anesth
Assunto da revista:
ANESTESIOLOGIA
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
França