ABSTRACT
Spontaneous subarachnoidal haemorrhage can be associated with neurogenic pulmonary oedema and cardiogenic shock. The presentation is an ischemic myocardial dysfunction associated with normal coronary arteries. Hypoxaemia associated with arterial hypotension on patients with brain injury can worsen neurological outcome. The administration of norepinephrine associated with fluid expansion could be deleterious on cardiac function. We report the case of a patient with acute pulmonary oedema associated with post-aneurysmal subarachnoid haemorrhage managed with transoesophageal Doppler monitoring.
Subject(s)
Heart Failure/diagnostic imaging , Heart Failure/etiology , Pulmonary Edema/etiology , Subarachnoid Hemorrhage/complications , Subarachnoid Hemorrhage/diagnostic imaging , Adult , Echocardiography, Transesophageal , Female , Humans , Ultrasonography, DopplerSubject(s)
Anesthesia, Inhalation/methods , Anesthetics, Inhalation/administration & dosage , Methyl Ethers/administration & dosage , Anesthesia, Inhalation/economics , Anesthetics, Inhalation/economics , Child , Costs and Cost Analysis , France , Humans , Methyl Ethers/economics , Respiration, Artificial , SevofluraneABSTRACT
Hypoplastic left heart syndrome (HLHS), a complex congenital heart disease, is the most common lethal cardiac defect in neonates. Its treatment includes cardiac transplantation and/or surgical palliation. Associated extracardiac congenital abnormalities are exceptional. We report the case of a neonate with HLHS and anorectal atresia who required urgent surgical management to relieve intestinal obstruction. The surgery was successfully performed under spinal anaesthesia.