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Cardiac tamponade anaesthesia

Emeka B Kesieme, Peter O Okokhere, Christopher Ojemiega Iruolagbe, Angela Odike, Clifford Owobu, Theophilus Akhigbe
Background. The diagnosis and treatment of massive pericardial effusion and cardiac tamponade have evolved over the years with a tendency towards a more comprehensive diagnostic workup and less traumatic intervention. Method. We reviewed and analysed the data of 32 consecutive patients who underwent surgery on account of massive pericardial effusion and cardiac tamponade in a semiurban university hospital in Nigeria from February 2010 to February 2016. Results. The majority of patients (34.4%) were between 31 and 40 years...
2016: Advances in Medicine
John Nicholas Melvan, David Madden, Julio C Vasquez, Jacob DeLaRosa
Pericardial effusions compress the heart, decrease cardiac output, and lead to haemodynamic collapse. Ultrasound (US)-guided pericardiocentesis is the gold standard for treating pericardial effusions. Recently, the incorporation of computed tomography (CT) guidance has increased patient safety while entering the pericardium. Despite the superior performance of CT-guided pericardiocentesis in smaller, complex effusions, this procedure is not routinely performed by cardiologists and surgeons. Unlike those with an intact pericardium, patients with mediastinal trauma, pericardial adhesions, temporary pacing wires, and vascular conduits are high risk for pericardiocentesis...
July 2016: Heart, Lung & Circulation
Giacomo Mugnai, Carlo de Asmundis, Giuseppe Ciconte, Ghazala Irfan, Yukio Saitoh, Vedran Velagic, Erwin Ströker, Kristel Wauters, Burak Hünük, Pedro Brugada, Gian-Battista Chierchia
BACKGROUND: The second-generation cryoballoon Advance (CB-A) recently launched on the market has technical modifications designed to significantly improve procedural outcome with respect to the first-generation device. OBJECTIVE: The purpose of this study was to evaluate the overall incidence of complications in a large sample of patients having undergone pulmonary vein (PV) isolation with CB-A technology. METHODS: All consecutive patients who underwent PV isolation procedures using CB-A technology between June 2012 and February 2015 were considered...
July 2015: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Chong Oon Tan, Laurence Weinberg, Parameswan Pillai, Jon Fernandes
A 38-year-old intravenous drug using man was scheduled for urgent pericardial window surgery to treat pericardial effusion and tamponade. Transoesophageal echocardiography (TOE) during the procedure revealed a minor residual effusion and an atypical heterogenous thickened appearance of the pericardium and adjoining aortic root. Interrogation of the aortic valve with a 'panning' manoeuvre from the mid-oesophageal aortic valve short axis view showed a small hypoechoic lesion between the right and non-coronary cusp at the level of the sinus of Valsalva...
2013: BMJ Case Reports
Annalisa Franco, Chiara Gerli, Laura Ruggeri, Fabrizio Monaco
Transcatheter aortic valve implantation (TAVI) is an emergent technique for high-risk patients with aortic stenosis. TAVI poses significant challenges about its management because of the procedure itself and the population who undergo the implantation. Two devices are currently available and marketed in Europe and several other technologies are being developed. The retrograde transfemoral approach is the most popular procedure; nevertheless, it may not be feasible in patients with significant aortic or ileo-femoral arterial disease...
January 2012: Annals of Cardiac Anaesthesia
Hidetaka Uramoto, Takeshi Hanagiri
BACKGROUND: A malignant thoracic tumour often causes malignant pericardial effusion with cardiac tamponade. However, no standard treatment has yet been established. The purpose of this study was to clarify the utility of performing video-assisted thoracoscopic (VATS) pericardiectomy in patients presenting malignant pericardial effusion. PATIENTS AND METHODS: VATS pericardiectomy was performed for 11 patients with malignant pericardial effusion from 2000 to 2010...
November 2010: Anticancer Research
M Hargrove, C B Marshall, S Jahanjir, J Hinchion
A 34-year-old male undergoing percutaneous atrial ablation procedure for paroxysmal fibrillation required emergency sternotomy for cardiac tamponade. The patient had been anticoagulated and had received plavix and aspirin prior to and during the ablation procedure. Seven units of red cell concentrate had been transfused in the cardiac catherisation laboratory. On arrival in theatre, the patient was hypotensive, but was awake on induction of anaesthesia. No recordable blood pressure with non-invasive monitoring was observed...
November 2010: Perfusion
Gian Battista Chierchia, Lucio Capulzini, Steven Droogmans, Antonio Sorgente, Andrea Sarkozy, Andreas Müller-Burri, Gaetano Paparella, Carlo de Asmundis, Yoshinao Yazaki, Dirk Kerkhove, Guy Van Camp, Pedro Brugada
AIMS: Atrial fibrillation (AF) ablation is increasingly being performed in electrophysiology laboratories. Pericardial effusion (PE) is certainly one of the most frequently observed complications during AF ablation. The aim of our study was to investigate the incidence and outcome of PE following cryothermal energy balloon ablation (CBA) in comparison with conventional circumferential pulmonary vein isolation with a focal radiofrequency (RF) catheter. METHODS AND RESULTS: A total of 133 consecutive patients (105 males) with paroxysmal AF were included in this study...
March 2010: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
L Beydon, J C Desfontis, F Ganster, J Petres, F Gautier, S Ferec, A Cailleux, C Dussaussoy, N Liu, T Chazot, M Fischler, M Gogny
OBJECTIVES: This study in swine assessed BIS stability in response to decreases and increases in cardiac output under two propofol/remifentanil dosage combinations, both producing the same depth of surgical anaesthesia. METHODS: Eight anaesthetized-paralyzed ventilated adult swine were studied using a random-order cross-over design. Four received a P low/R high combination (P, 8.4+/-0.9 mg/kg/h; and R, 0.54+/-0.02 microg/kg/min) and then a P high/R low combination (P, 26...
July 2009: Annales Françaises D'anesthèsie et de Rèanimation
Gaetano Florio, Mauro Del Papa, Antonio Mari, Domenico Carnì
Totally implantable vascular access devices (ports) were introduced into clinical practice to replace external catheters in patients undergoing prolonged intravenous therapy. Today, they are also designed to provide repeated access to the vascular system for the delivery of blood products and are also used for the withdrawal of blood samples. As regards cancer patients, the availability of these continuous reliable intravenous catheterisation devices has provided an opportunity to deliver more complex, multi-drug regimens, in safety and with a good quality of life...
September 2008: Chirurgia Italiana
Andreas Wahl, Fabien Praz, Jessica Stinimann, Stephan Windecker, Christian Seiler, Krassen Nedeltchev, Heinrich P Mattle, Bernhard Meier
BACKGROUND: Percutaneous closure of patent foramen ovale (PFO) is generally performed using intra-procedural guidance by transoesophageal (TEE) or intracardiac (ICE) echocardiography. While TEE requires sedation or general anaesthesia, ICE is costly and adds incremental risk, and both imaging modalities lengthen the procedure. METHODS: A total of 825 consecutive patients (age 51 +/- 13 years; 58% male) underwent percutaneous PFO closure solely under fluoroscopic guidance, without intra-procedural echocardiography...
October 4, 2008: Swiss Medical Weekly
No abstract text is available yet for this article.
April 1964: British Journal of Anaesthesia
B M Mayosi, M Ntsekhe, J A Volmink, P J Commerford
BACKGROUND: Tuberculous pericarditis - tuberculosis infection of the pericardial membrane (pericardium) covering the heart - is becoming more common. The infection can result in fluid around the heart or fibrosis of the pericardium, which can be fatal. OBJECTIVES: In people with tuberculous pericarditis, to evaluate the effects on death, life-threatening conditions, and persistent disability of: (1) 6-month antituberculous drug regimens compared with regimens of 9 months or more; (2) corticosteroids; (3) pericardial drainage; and (4) pericardiectomy...
2002: Cochrane Database of Systematic Reviews
A Campione, M Cacchiarelli, C Ghiribelli, V Caloni, A D'Agata, G Gotti
BACKGROUND: Pericardiocentesis, pleuro-pericardial window, subxiphoid pericardial drainage and pericardioscopy: which methodology to treat pericardial effusion? Each of these surgical treatments can be effective, depending on clinical factors and history of the patients. We considered pericardial effusions during 5 years. METHODS: We reviewed 64 cases: 14 acute pericardial effusions (5 patients with cardiac tamponade), 39 subacute, 11 chronic. Epidemiology and aetiology: 8 cases were between 20 and 25 years old (all affected by lymphoma), 56 were distributed in every age, especially over 60, and of these 45 were neoplastic and 11 non- neoplastic...
October 2002: Journal of Cardiovascular Surgery
M Varró, K Gombocz, G Wrana
The authors have performed a retrospective study in order to review the occurrence and the influencing factors of early extubation among their patients. Those patients who had any severe complication in the immediate postoperative period (pericardial tamponade, low cardiac output syndrome, re-operation due to excessive bleeding, postperfusion lung syndrome, pulmonary edema) preventing early extubation, have been excluded from the study. In the remaining 690 patients early extubation within 8 hours and within 4 hours could be carried out in 525 (76...
June 10, 2001: Orvosi Hetilap
C Rickers, C Hamm, H Stern, T Hofmann, O Franzen, R Schräder, H Sievert, D Schranz, I Michel-Behnke, J Vogt, D Kececioglu, W Sebening, A Eicken, H Meyer, W Matthies, F Kleber, J Hug, J Weil
OBJECTIVE: To investigate the safety, efficacy, and clinical application of a new self centering device ("angel wings") for closure of secundum atrial septal defects (ASD II) and persistent foramen ovale in all age groups. DESIGN: Multicentre, prospective, nonrandomised study. PATIENTS: HASH(0x4a12db8) INCLUSION CRITERIA: defects with an occlusive diameter of < or = 20 mm and a surrounding rim of > 4 mm; body weight > 10 kg; and an indication for surgical closure of secundum atrial septal defect...
November 1998: Heart: Official Journal of the British Cardiac Society
G von Knobelsdorff, M Goerig, H Nägele, J Scholz
UNLABELLED: We describe unexpected episodes of paced tachycardia in two patients with rate-responsive pacemakers during anaesthesia. Five months after a heart transplant and implantation of a pacemaker a 43-year-old patient suffered cardiac tamponade as a result of chronic pericarditis. The second case involved embolic occlusion of the femoral artery in a 33-year-old female patient previously operated on for tricuspid valve replacement and implantation of a pacemaker. In both cases induction of anaesthesia was performed with fentanyl, etomidate and vecuronium...
September 1996: Der Anaesthesist
P Y Carry, V Banssillon
The abdominal pressure is a hydrostatic one, which can be measured in the bladder, the rectum and the stomach. In physiologic conditions, the abdominal pressure is variable, with peaks as high as 100 to 200 mmHg at the time of defecation, cough. The increase in abdominal pressure elicited by abdominal distension or compression acts directly on the abdominal compartment, indirectly on the thoracic compartment, and modifies the circulation and the ventilation. Venous return is decreased as the inferior vena cava is compressed...
1994: Annales Françaises D'anesthèsie et de Rèanimation
M Fleyfel, J F Ferreira, H Gonzalez de Linares, O Merlier, A Harchaoui
An unusual case of intrapericardial diaphragmatic hernia is presented. Cardiac tamponade occurred in the operating room soon after induction of anaesthesia. Surgical removal of the herniated omentum and stomach allowed haemodynamic improvement. The pathophysiology is discussed and patients with cardiac tamponade reviewed.
August 1994: British Journal of Anaesthesia
C N Fakiolas, D I Beldekos, S G Foussas, C D Olympios, E G Pissimissis, D Alexopoulos, D V Cokkinos
A terminally ill patient with cardiac tamponade secondary to metastatic breast cancer was successfully treated by percutaneous balloon pericardiotomy. The procedure was performed through subxiphoid approach under local anaesthesia and its beneficial effect was maintained until the patient's death from her primary disease. A second, 86-year-old, debilitated patient and a third 52-year-old patient were managed likewise and both left hospital relieved from recurrent severe pericardial effusions. The later two patients have shown no signs of recurrence for fifteen and twelve months respectively...
1995: Acta Cardiologica
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