RESUMO
OBJECTIVE: To analyze survival and neurological outcome at short and medium term in patients treated with mild therapeutic hypothermia (HTM) in our hospital after suffering an out-of-hospital cardiac arrest (CA) secondary to a shockable rhythm. DESIGN: Prospective, observational study from September 1, 2010 to December 31, 2012, with a follow up of 6 months. SETTING: Tertiary hospital. PATIENTS: All patients who suffer an out-of-hospital CA due to shockable rhythms. EXCLUSION CRITERIA: non-shockable rhythms, resuscitation >45 minutes without pulse recovery, septic shock, previous coagulopathy, terminal illness or order for withholding treatment. INTERVENTION: Mild hypothermia (33°C) and postresuscitation care on the basis of standardized protocols. MAIN VARIABLES: Demographic and epidemiological data, CA data and survival and neurological outcome at hospital discharge and after 6 months. To assess the patients' neurological status, Cerebral Performance Categories (CPC) scale was used. RESULTS: A total of 54 patients were analyzed. 37 patients were discharged to hospital, representing a survival at discharge of 68.5%, which remains 6 months later because no discharged patient died during the follow up period. Regarding neurological outcome, 44.4% of patients were alive and with CPC 1-2 at discharge and up to 54.71% at 6 months. CONCLUSIONS: The results of survival and neurological functional status obtained in our center after implementation of HTM are comparable to those published in the literature.
Assuntos
Hipotermia Induzida , Parada Cardíaca Extra-Hospitalar/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças do Sistema Nervoso/etiologia , Parada Cardíaca Extra-Hospitalar/complicações , Parada Cardíaca Extra-Hospitalar/etiologia , Parada Cardíaca Extra-Hospitalar/mortalidade , Prognóstico , Estudos Prospectivos , Taxa de Sobrevida , Taquicardia Ventricular/complicações , Resultado do Tratamento , Fibrilação Ventricular/complicaçõesAssuntos
Fibrilação Atrial/tratamento farmacológico , Flutter Atrial/tratamento farmacológico , Frequência Cardíaca/efeitos dos fármacos , Hipnóticos e Sedativos/uso terapêutico , Propofol/uso terapêutico , Taquicardia Supraventricular/tratamento farmacológico , Adenosina/uso terapêutico , Adulto , Idoso , Amiodarona/uso terapêutico , Fibrilação Atrial/terapia , Flutter Atrial/terapia , Cardioversão Elétrica , Feminino , Humanos , Hipnóticos e Sedativos/farmacologia , Masculino , Pessoa de Meia-Idade , Propofol/farmacologiaRESUMO
OBJECTIVE: Although the use of pulmonary artery catheters (PACs) in managing critical patients is a subject of debate, they continue to be inserted in many cases and possible complications should be taken into account. Our objective was to review the serious or potentially serious complications associated with PACs in our hospital in the past 15 years. PATIENTS AND METHODS: This was a retrospective study of seious mechanical complications of PAC use in patients who underwent vascular, cardiac, and thoracic surgery. RESULTS: The study included the records 7540 patients; 9 cases of serious complications were detected. These complications included 5 cases of pulmonary artery rupture (3 of which resulted in death), 1 perforated internal mammary vein, 1 knotted catheter, 1 bent one, and 1 case of a PAC becoming trapped in the surgical suture. CONCLUSIONS: The 0.12% incidence of complications is lower than rates found in the literature. Although these complications are rare, it is necessary to take precautions against their unexcepted appearance by carefully selecting the patients in whom PACs are placed and by paying special attention to the characteristic clinical and radiological signs of complications.
Assuntos
Cateterismo de Swan-Ganz/efeitos adversos , Cateteres de Demora/efeitos adversos , Complicações Intraoperatórias/etiologia , Monitorização Intraoperatória/instrumentação , Artéria Pulmonar/lesões , Procedimentos Cirúrgicos Torácicos , Procedimentos Cirúrgicos Vasculares , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos Cardíacos , Cateterismo de Swan-Ganz/instrumentação , Cateterismo de Swan-Ganz/mortalidade , Feminino , Hemoptise/etiologia , Hemorragia/etiologia , Humanos , Complicações Intraoperatórias/epidemiologia , Veias Jugulares , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória/métodos , Estudos Retrospectivos , Ruptura/etiologia , Veias/lesõesRESUMO
BACKGROUND: Transluminal percutaneous carotid angioplasty and stenting (CAS) carries a risk of cerebral ischemia, hemorrhage, or edema due to relative hyperemia and hemodynamic instability during and after the procedure. Noninvasive monitoring of near-infrared regional cerebral oxygen saturation (SrO2) offers an indirect way to estimate cerebral blood flow. OBJECTIVE: To evaluate the behaviour of SrO2 during CAS and the usefulness of this variable for continuous monitoring of cerebral blood flow variation and neurological status. MATERIAL AND METHODS: Prospective study of 25 patients scheduled for unilateral CAS under monitored anesthesia care. SrO, and other hemodynamic and clinical data were recorded. A change in SrO2 (deltaSrO2) of 15% or more in comparison with the baseline value and lasting more than 30 seconds was considered clinically significant. Neurological complications in the first 24 hours were also registered. RESULTS: Baseline SrO, ranged from 51% to 75%. With administration of papaverine SrO2 values increased by a mean (SD) of 5.6% (6%) (P<.05 vs baseline). They decreased during angioplasty, -2.5% (5.7%) (P<.05 vs baseline), increased after 5 minutes, and fell again at 30 minutes to a level 3% (6.54%) above baseline. Two patients showed signs of elevated intracranial pressure after the procedures and also had ASrO2 readings exceeding 15%; measures to lower arterial hypertension reduced SrO2 in these patients. CONCLUSION: High interindividual variability of absolute SrO2 values has been confirmed. SrO, fluctuates with maneuvers that change cerebral blood flow in the same way. Changes can precede the onset of other clinical signs.
Assuntos
Angioplastia com Balão , Artéria Carótida Interna , Estenose das Carótidas/terapia , Circulação Cerebrovascular , Hipóxia Encefálica/prevenção & controle , Monitorização Intraoperatória/métodos , Oximetria/métodos , Oxigênio/sangue , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Idoso , Pressão Sanguínea , Isquemia Encefálica/sangue , Isquemia Encefálica/tratamento farmacológico , Isquemia Encefálica/etiologia , Isquemia Encefálica/prevenção & controle , Estenose das Carótidas/sangue , Feminino , Frequência Cardíaca , Humanos , Hiperemia/sangue , Hiperemia/etiologia , Hipóxia Encefálica/sangue , Hipóxia Encefálica/etiologia , Hipertensão Intracraniana/sangue , Hipertensão Intracraniana/tratamento farmacológico , Hipertensão Intracraniana/etiologia , Complicações Intraoperatórias/sangue , Complicações Intraoperatórias/etiologia , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória/instrumentação , Doenças do Sistema Nervoso/epidemiologia , Doenças do Sistema Nervoso/etiologia , Oximetria/instrumentação , Papaverina/uso terapêutico , Complicações Pós-Operatórias/epidemiologia , Estudos Prospectivos , Espectroscopia de Luz Próxima ao Infravermelho/instrumentação , Vasodilatadores/uso terapêuticoRESUMO
BACKGROUND: Information regarding to the system functioning and to the outcome of patients in whom cardiopulmonary resuscitation (CPR) was performed during their in hospital period in non intensive care units are essentially lacking in Spain. The objectives of the present work were: 1) to define clinical and demographic characteristics of the patients who develop cardiopulmonary arrest in general hospitalization wards; 2) to analyze immediate and late (at discharge) survival rates as well as the frequency of severe sequelae in final survivors; 3) to identify prognostic factors in relationship to survival, and 4) to detect possible internal deficiencies in the organized system of CPR. PATIENTS AND METHODS: All patients who develop cardiac and pulmonary arrest through their hospitalization in general wards during a three year period, were prospectively included. Clinical and demographic data from all the patients as well as data related to the internal functioning of the system were recorded. RESULTS: From 356 included cases, 196 (55%) were initially recovered and 128 (36%) were discharged from the hospital. Among the latter group, 12.5% remained with severely disabling neurologic damage. Age under 80 years, resuscitation maneuvers for less than 20 minutes and respiratory arrest as the ultimate event leading to cardiopulmonary arrest were associated with better prognosis. The internal deficiencies most commonly recorded in the system were false calling to the emergency team, the wrong identification of the location in the hospitalization unit and several abnormalities in the content of CPR sets. CONCLUSIONS: With the currently available organized system directed towards CPR for patients admitted in general hospitalization wards, our rates of success are good and similar to those achieved in some intensive care units. Thus, a similar policy may be encouraged in large hospitals. Since most of the detected deficiencies in internal functioning are easy to rectify, a close monitoring is warranted in order to optimize the results.
Assuntos
Reanimação Cardiopulmonar , Parada Cardíaca/terapia , Hospitalização , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Prognóstico , Estudos ProspectivosRESUMO
One of the aims of the medical profession is to be able to detect complications in patients during diagnostic tests and treatments. The early diagnosis of these complications can prevent a fatal outcome. The diagnosis is often based on clinical symptoms and supported by complementary tests. Diagnostic tests have been developed in the last few years that are rapid and easy to use, as well as being cost effective and minimally invasive. Focussed assessment with sonography for trauma ultrasound (echo-FAST) was introduced in the 1990s in the field of resuscitation as a test for the rapid detection of intra-abdominal and pericardial fluid in multiple injury patients, but its uses in other cases not involving trauma still raise doubts and controversy. A case is presented of a patient subjected to a sternal puncture for a bone marrow aspirate, who had a complication of a secondary cardiac tamponade, which was diagnosed early using echo-FAST.
Assuntos
Biópsia por Agulha/efeitos adversos , Tamponamento Cardíaco/etiologia , Punções/efeitos adversos , Esterno/lesões , Exame de Medula Óssea , Tamponamento Cardíaco/diagnóstico por imagem , Diagnóstico Precoce , Feminino , Hemorragia/etiologia , Humanos , Leucemia Mieloide Aguda/complicações , Adulto JovemRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Arritmias Cardíacas/induzido quimicamente , Arritmias Cardíacas/complicações , Taquicardia/induzido quimicamente , Taquicardia/complicações , Propofol/efeitos adversos , Cardioversão Elétrica , Arritmia Sinusal/induzido quimicamente , Arritmia Sinusal/complicações , Antiarrítmicos/uso terapêuticoAssuntos
Creatinina/sangue , Testes de Função Renal , Transplante de Fígado/métodos , Transplante de Fígado/fisiologia , Veia Cava Inferior , Análise de Variância , Creatinina/urina , Diurese , Hemofiltração , Hepatectomia , Humanos , Monitorização Intraoperatória , Período Pós-Operatório , Proteinúria , Diálise Renal , Sódio/urinaRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Propofol/farmacocinética , Flutter Atrial/tratamento farmacológico , EletrocardiografiaRESUMO
Antecedentes: El gasto cardaco (GC) producido por las compresiones torácicas durante las maniobras de resucitación puede predecir la efectividad y un buen resultado final. Durante las compresiones torácicas manuales, el flujo sanguíneo a los órganos vitales está generalmente disminuido porque las compresiones torácicas manuales son significativamente de más baja calidad que las recomendadas por las guías internacionales de reanimación. Además, las compresiones torácicas efectivas durante el transporte son a menudo difíciles. Los dispositivos automáticos fueron diseñados para mejorarla reanimación cardiopulmonar, y algunos han mostrado beneficios hemodinámicos y de resultados a corto plazo. Sin embargo, no han sido realizados estudios comparativos entre ellos. Nuestro estudio compara los dispositivos LUCAS y AutoPulse. Método: El estudio se basó en un diseño experimental realizado con 24 cerdos Yorkshire. Las variables hemodinámicas y el CO2 al final de la espiración se midieron en posición supina. Los resultados se compararon entre los grupos. Los parámetros hemodinámicos fueron analizados longitudinalmente usando un modelo lineal general. Resultados: Durante el seguimiento, el GC y el CO2 al final de la espiración fueron significativamente diferentes (p < 0,001) y ambos más altos en el grupo LUCAS. No hubo diferencias significativas en la presión arterial media (p = 0,121) o la presión de perfusión coronaria (p = 0,690) entre los grupos. Conclusiones: Los dispositivos LUCAS y AutoPulse fueron efectivos en producir y mantener suficiente GC y presión de perfusión coronaria. Este estudio sugiere que el dispositivo LUCAS puede ser superior al AutoPulse en términos de GC y CO2 al final de la espiración. No se encontraron diferencias en la presión de perfusión coronaria
Background and objective: Cardiac output generated from chest compressions during resuscitation maneuvres can predict effectiveness and successful outcome. During manual chest compressions, blood flow to vital organs is generally impaired because the quality of manual chest compressions is significantly inferior to that recommended by international resuscitation guidelines. Furthermore, it is difficult to perform effective chest compressions during transport. Automated devices have been designed to improve cardiopulmonary resuscitation and some have been shown to improve haemodynamics and short term outcome. No comparative studies have been done. In this study we aimed to compare the LUCAS and AutoPulse devices. Methods: Experimental study in 24 Yorkshire pigs. Hemodynamic variables and end-tidal carbon dioxide (ETCO2) we rerecorded during a period of resuscitation in supine position. These variables were compared between device groups. Hemodynamic variables were analyzed by means a general linear model for longitudinal data. Results: Significantly higher cardiac output and ETCO2 (P < .001) were found in the LUCAS group on follow-up. The analysis showed no significant differences in mean arterial pressure (P = .121) or coronary perfusion pressure (P = .690) between groups. Conclusions: LUCAS and AutoPulse devices were both effective in generating and maintaining adequate cardiac output and coronary perfusion pressure. The present study suggests that the LUCAS device may be superior to the AutoPulse device when comparing cardiac output and ETCO2 values generated during cardiopulmonary resuscitation; however, no differences in coronary perfusion pressure were found
Assuntos
Animais , Reanimação Cardiopulmonar/instrumentação , Hemodinâmica/fisiologia , Débito Cardíaco/fisiologia , Equipamentos e Provisões , Modelos Animais de Doenças , SuínosRESUMO
OBJETIVO: Analizar la supervivencia y el pronóstico neurológico a corto y medio plazo de los pacientes atendidos en nuestro hospital tras sufrir una parada cardiorrespiratoria (PCR) extrahospitalaria secundaria a un ritmo desfibrilable y tratados con hipotermia terapéutica moderada (HTM). DISEÑO: Estudio prospectivo, observacional desde el 1 de enero de 2010 al 31 de diciembre de 2012, con un seguimiento de 6 meses. Ámbito: Hospital de tercer nivel. PACIENTES: Pacientes que sufrieron una PCR extrahospitalaria secundaria a ritmos desfibrilables. Criterios de exclusión: ritmos no desfibrilables, maniobras de reanimación > 45 min sin recuperación de pulso, shock séptico, coagulopatía previa, enfermedad terminal u orden de limitación del esfuerzo terapéutico
OBJECTIVE: To analyze survival and neurological outcome at short and medium term in patients treated with mild therapeutic hypothermia (HTM) in our hospital after suffering an out-of-hospital cardiac arrest (CA) secondary to a shockable rhythm. DESIGN: Prospective, observational study from September 1, 2010 to December 31, 2012, with a follow up of 6 months. SETTING: Tertiary hospital. PATIENTS: All patients who suffer an out-of-hospital CA due to shockable rhythms. Exclusion criteria: non-shockable rhythms, resuscitation > 45 minutes without pulse recovery, septic shock, previous coagulopathy, terminal illness or order for withholding treatment. Intervention: Mild hypothermia (33°C) and postresuscitation care on the basis of standardized protocols. MAIN VARIABLES: Demographic and epidemiological data, CA data and survival and neurological outcome at hospital discharge and after 6 months. To assess the patients' neurological status, Cerebral Performance Categories (CPC) scale was used. RESULTS: A total of 54 patients were analyzed. 37 patients were discharged to hospital, representing a survival at discharge of 68.5%, which remains 6 months later because no discharged patient died during the follow up period. Regarding neurological outcome, 44.4% of patients were alive and with CPC 1-2 at discharge and up to 54.71% at 6months. CONCLUSIONS: The results of survival and neurological functional status obtained in our center after implementation of HTM are comparable to those published in the literature
Assuntos
Humanos , Parada Cardíaca/terapia , Hipotermia Induzida , Assistência Pré-Hospitalar , Análise de Sobrevida , Estatísticas de Sequelas e Incapacidade , Cuidados Críticos/métodosRESUMO
La detección de las complicaciones de las pruebas y de los tratamientos que se realizan a los pacientes es uno de los objetivos de los médicos. El diagnóstico precoz de dichas complicaciones puede evitar un desenlace letal. Habitualmente nos basamos en la clínica apoyando el diagnóstico en pruebas complementarias. En los últimos años se han desarrollado pruebas diagnósticas de fácil y rápida ejecución, económicas y mínimamente invasivas. La ecografía focussed assessment with sonography for trauma (eco-FAST) se introdujo en los años 90 en el ámbito de la reanimación como prueba de detección rápida de líquido intraabdominal y pericárdico en el paciente politraumatizado, pero su utilización en otros casos de naturaleza no traumática suscita aún hoy dudas y controversia. Se presenta un caso en el que una paciente sometida a una punción esternal para aspirado medular presentó como complicación un taponamiento cardíaco secundario, que fue diagnosticado de forma precoz mediante eco-FAST (AU)
One of the medical profession is to be able to detect complications in patients during diagnostic tests and treatments. The early diagnosis of these complications can prevent a fatal outcome. The diagnosis is often based on clinical symptoms and supported by complementary tests. Diagnosis tests have been developed in the last few years that are rapid and easy to use, as well as being cost effective and minimally invasive. Focussed assessment with sonography for trauma ultrasound (echo-FAST) was introduced in the 1990s in the field of resuscitacion as a test for the rapid detection of intra-abdominal and pericardial fluid in multiple injury patients, but its uses in other cases not involving trauma still raise doubts and controversy. A case is presented of a patient subjected to a sternal puncture for a bone marrow aspirate, who had a complication of a secondary cardiac tamponade, which was diagnosed early using echo-FAST (AU)
Assuntos
Humanos , Feminino , Tamponamento Cardíaco/etiologia , Punções/efeitos adversos , Ablação por Ultrassom Focalizado de Alta Intensidade , Ultrassonografia , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/efeitos adversosRESUMO
OBJECTIVE: To assess the effects of dopamine and dobutamine administration on the systemic and mesenteric (macro- and microvascular) circulatory disturbances induced by intra-abdominal hyperpressure. DESIGN: Prospective, randomized study. SETTING: Animal research laboratory in a university hospital. SUBJECTS: Twenty-five pigs of either gender, weighing 30-35 kg. INTERVENTIONS: Animals were anesthetized, and their lungs were mechanically ventilated. Pulmonary artery flotation and carotid artery catheters were inserted for hemodynamic monitoring and blood sampling. A perivascular flow probe was placed around the superior mesenteric artery, and a laser Doppler probe was positioned in the lumen of the ileum to measure arterial and intestinal mucosal blood flows, respectively. CO2 was insufflated into the peritoneal cavity to reach an intra-abdominal pressure of 15 mm Hg, and 60 mins later, animals received dopamine (5 microg/kg/min; n = 10), dobutamine (5 microg/kg/min; n = 10), or saline (n = 5) for 30 mins. MEASUREMENTS AND MAIN RESULTS: Peritoneal CO2 insufflation induced significant increases in heart rate, arterial pressure, and systemic vascular resistance with concomitant decreases in cardiac output and superior mesenteric arterial and intestinal mucosal blood flows. Although dobutamine infusion reversed the decrease in cardiac output, it failed to restore superior mesenteric artery blood flow; however, intestinal mucosal blood flow returned to baseline levels. Dopamine also attenuated the decrease in cardiac output, but it had no beneficial effect on splanchnic hemodynamic variables. CONCLUSIONS: Low-dose infusion of dobutamine, but not dopamine, corrects the intestinal mucosal perfusion impairment induced by moderate increases in intra-abdominal pressure.
Assuntos
Agonistas Adrenérgicos beta/uso terapêutico , Débito Cardíaco/efeitos dos fármacos , Modelos Animais de Doenças , Dobutamina/uso terapêutico , Dopamina/uso terapêutico , Hemodinâmica/efeitos dos fármacos , Mucosa Intestinal/irrigação sanguínea , Isquemia/tratamento farmacológico , Isquemia/etiologia , Mesentério/irrigação sanguínea , Abdome/irrigação sanguínea , Agonistas Adrenérgicos beta/farmacologia , Animais , Dobutamina/farmacologia , Dopamina/farmacologia , Avaliação Pré-Clínica de Medicamentos , Feminino , Isquemia/fisiopatologia , Fluxometria por Laser-Doppler , Masculino , Pneumoperitônio Artificial/efeitos adversos , Pressão , Distribuição Aleatória , SuínosRESUMO
Insufflation with helium is used to prevent respiratory acidosis, hypercapnia, and cardiovascular instability associated with carbon dioxide (CO2) pneumoperitoneum. The aim of this prospective study was to compare CO2 with helium pneumoperitoneum with special reference to respiratory and hemodynamic changes at different times during the operation. Altogether 22 pheochromocytoma patients undergoing laparoscopic adrenalectomy (LpA) were included using CO2 in 11 patients (CO2LpA) and helium in 11 patients (HeLpA). The insufflation pressure was 12 mmHg. The two groups were comparable with regard to demographic data and preoperative management. CO2 and helium insufflation were associated with similar catecholamine increase. The most striking significant increase compared with the baseline was observed during tumor isolation: The mean plasma epinephrine (EPI) and norepinephrine (NE) levels increased 32.86-fold and 25.92-fold, respectively, in the CO2LpA patients and 27.43-fold and 18.46-fold, respectively, in the HeLpA patients. HeLpA did not result in significant hypercarbia or acidosis at any measured intraoperative point; this was without any alteration in minute ventilation to maintain these normal PaCO2, excess base (EB), and pH values. Significant increases of mean arterial pressure, pulmonary arterial pressure, pulmonary vascular resistance index, PaCO2, EB, and acidosis were seen in the CO2LpA patients at the time of tumor isolation and tumor removal compared with those in HeLpA patients. No patient required conversion to open surgery. There were no significant differences between CO2LpA and HeLpA regarding mean operative time (117.50 +/- 93.68 vs. 106.87 +/- 16.60 minutes), mean blood loss (168.54 +/- 78.63 vs. 142.02 +/- 109.26 ml), hospital stay (4 days), the need for analgesics, or mean time required to return to normal activity (12 days). There was one wound infection in the HeLpA group and one wound hematoma and one case of atelectasis in the CO2LpA group. Helium may be the agent of choice for abdominal insufflation in patients undergoing LpA for pheochromocytoma, eliminating the adverse hemodynamic and respiratory changes associated with CO2 insufflation.
Assuntos
Neoplasias das Glândulas Suprarrenais/cirurgia , Adrenalectomia/métodos , Laparoscopia , Feocromocitoma/cirurgia , Pneumoperitônio Artificial , Neoplasias das Glândulas Suprarrenais/fisiopatologia , Adulto , Idoso , Dióxido de Carbono , Feminino , Hélio , Hemodinâmica , Humanos , Masculino , Pessoa de Meia-Idade , Feocromocitoma/fisiopatologia , Estudos Prospectivos , RespiraçãoRESUMO
BACKGROUND: Elevated intraabdominal pressure due to gas insufflation for laparoscopic surgery may result in regional blood flow changes. Impairments of hepatic, splanchnic, and renal blood flow during peritoneal insufflation have been reported. Therefore we set out to investigate the effects of peritoneal insufflation with helium (He) and carbon dioxide (CO2) on hepatic blood flow in a porcine model. METHODS: Twelve pigs were anesthetized and mechanically ventilated with a fixed tidal volume after the stabilization period. Peritoneal cavity was insufflated with CO2 (n = 6) or He (n = 6) to a maximum intraabdominal pressure of 15 mmHg. Hemodynamic parameters, gas exchange, and oxygen content were studied at baseline, 90 mm and 150 min after pneumoperitoneum, and 30 min after desufflation. Determination of hepatic blood flow with indocyanine green was made at all measured points by a one-compartment method using hepatic vein catheterization. RESULTS: A similar decrease in cardiac output was observed during insufflation with both gases. Hepatic vein oxygen content decreased with respect to the baseline during He pneumoperitoneum (p < 0.05), but it did not change during CO2 insufflation. Hepatic blood flow was significantly reduced in both the He and CO2 pneumoperitoneums at 90 min following insufflation (63% and 24% decrease with respect to the baseline; p < 0.001 and p < 0.05, respectively) being this decrease marker in the He group (p = 0.02). CONCLUSIONS: These findings suggest that helium intraperitoneal insufflation results in a greater impairment on hepatic blood flow than CO2 insufflation.
Assuntos
Dióxido de Carbono/administração & dosagem , Hélio/administração & dosagem , Circulação Hepática/efeitos dos fármacos , Pneumoperitônio Artificial , Animais , Pressão Sanguínea , Dióxido de Carbono/sangue , Dióxido de Carbono/farmacologia , Débito Cardíaco , Frequência Cardíaca , Hélio/farmacologia , Veias Hepáticas , Laparoscopia , Pneumoperitônio Artificial/métodos , Suínos , Pressão VenosaAssuntos
Fibrilação Atrial/terapia , Cardioversão Elétrica , Hipnóticos e Sedativos , Propofol , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
OBJETIVOS: A pesar de la discusión sobre la utilidaddel catéter de arteria pulmonar (CAP) en el manejo delpaciente crítico, se sigue utilizando frecuentemente y esconveniente tener en cuenta también sus posibles complicaciones.El objetivo del estudio es revisar las complicacionesmecánicas graves o potencialmente graves asociadasa CAP ocurridos en nuestro centro en los últimos15 años.PACIENTES Y MÉTODOS: Se ha realizado un estudioobservacional retrospectivo sobre los pacientes sometidosa cirugía vascular, cardiaca y torácica en los que secolocó un CAP, considerándose las complicaciones gravesde origen mecánico.RESULTADOS: Se incluyeron 7.540 pacientes, detectándosenueve casos de complicaciones graves entre los quese incluyen cinco rupturas de arteria pulmonar, tres deellas con resultado de muerte; una perforación de venamamaria interna; un nudo; un acodamiento y un atrapamientodel catéter en la sutura quirúrgica.CONCLUSIONES: Esto supone una incidencia de 0,12%,menor a la publicada. Aunque la frecuencia de estascomplicaciones es baja, su aparición inesperada obliga aestar alerta ante su posible aparición, con una cuidadosaselección de los pacientes en que se emplea el CAP yespecial vigilancia de los signos clínicos y radiológicoscaracterísticos de complicaciones (AU)
OBJECTIVE:Although the use of pulmonary artery catheters(PACs) in managing critical patients is a subject of debate, theycontinue to be inserted in many cases and possiblecomplications should be taken into account. Our objective wasto review the serious or potentially serious complicationsassociated with PACs in our hospital in the past 15 years.PATIENTS AND METHODS: This was a retrospective studyof seious mechanical complications of PAC use in patientswho underwent vascular, cardiac, and thoracic surgery.RESULTS: The study included the records 7540 patients;9 cases of serious complications were detected. Thesecomplications included 5 cases of pulmonary arteryrupture (3 of which resulted in death), 1 perforatedinternal mammary vein, 1 knotted catheter, 1 bent one, and1 case of a PAC becoming trapped in the surgical suture.CONCLUSIONS: The 0.12% incidence of complications islower than rates found in the literature. Although thesecomplications are rare, it is necessary to take precautionsagainst their unexcepted appearance by carefullyselecting the patients in whom PACs are placed and bypaying special attention to the characteristic clinical andradiological signs of complications (AU)