RESUMO
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.
Assuntos
Insuficiência Cardíaca/diagnóstico por imagem , Insuficiência Cardíaca/etiologia , Edema Pulmonar/etiologia , Hemorragia Subaracnóidea/complicações , Hemorragia Subaracnóidea/diagnóstico por imagem , Adulto , Ecocardiografia Transesofagiana , Feminino , Humanos , Ultrassonografia DopplerAssuntos
Anestesia por Inalação/métodos , Anestésicos Inalatórios/administração & dosagem , Éteres Metílicos/administração & dosagem , Anestesia por Inalação/economia , Anestésicos Inalatórios/economia , Criança , Custos e Análise de Custo , França , Humanos , Éteres Metílicos/economia , Respiração Artificial , SevofluranoRESUMO
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.