Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position
Intraoperative cardiac arrest is one of the most feared events by anesthesiologists and surgeons. Although there are many possible causes, three differential diagnoses stand out in the presented scenario: pulmonary embolism, gas embolism, and acute myocardial infarction. A 61-year-old female patient...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=4;spage=485;epage=487;aulast=Khouri |
| _version_ | 1797991256370970624 |
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| author | Davi Brasil Khouri Marina Ayres Delgado Jadson Lardy Lemes Marcela Morais Afonso Cruz |
| author_facet | Davi Brasil Khouri Marina Ayres Delgado Jadson Lardy Lemes Marcela Morais Afonso Cruz |
| author_sort | Davi Brasil Khouri |
| collection | DOAJ |
| description | Intraoperative cardiac arrest is one of the most feared events by anesthesiologists and surgeons. Although there are many possible causes, three differential diagnoses stand out in the presented scenario: pulmonary embolism, gas embolism, and acute myocardial infarction. A 61-year-old female patient was admitted in the hospital to C2-C5 arthrodesis. Despite no major bleeding during surgery, immediately after supination the patient developed refractory hypotension, a decrease in end tidal CO2, progressive bradycardia that ultimately led to pulseless electrical activity. Resuscitation maneuvers were promptly performed, sustained return of spontaneous circulation was attained after 50 minutes, and the patient was transferred to the ICU. This paper discusses the main causes for an episode of cardiac arrest in the context of cervical arthrodesis, with a markedly prolonged resuscitation time, in which the patient survived. |
| first_indexed | 2024-04-11T08:49:17Z |
| format | Article |
| id | doaj.art-0da1a0b5e0754c889ae68eb042072024 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-11T08:49:17Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-0da1a0b5e0754c889ae68eb0420720242022-12-22T04:33:40ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2022-01-0116448548710.4103/sja.sja_893_21Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone positionDavi Brasil KhouriMarina Ayres DelgadoJadson Lardy LemesMarcela Morais Afonso CruzIntraoperative cardiac arrest is one of the most feared events by anesthesiologists and surgeons. Although there are many possible causes, three differential diagnoses stand out in the presented scenario: pulmonary embolism, gas embolism, and acute myocardial infarction. A 61-year-old female patient was admitted in the hospital to C2-C5 arthrodesis. Despite no major bleeding during surgery, immediately after supination the patient developed refractory hypotension, a decrease in end tidal CO2, progressive bradycardia that ultimately led to pulseless electrical activity. Resuscitation maneuvers were promptly performed, sustained return of spontaneous circulation was attained after 50 minutes, and the patient was transferred to the ICU. This paper discusses the main causes for an episode of cardiac arrest in the context of cervical arthrodesis, with a markedly prolonged resuscitation time, in which the patient survived.http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=4;spage=485;epage=487;aulast=Khouriair embolismcardiac arrestgas embolismintraoperative cardiac arrestintraoperative myocardial infarctionpulmonary embolismspine surgery |
| spellingShingle | Davi Brasil Khouri Marina Ayres Delgado Jadson Lardy Lemes Marcela Morais Afonso Cruz Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position Saudi Journal of Anaesthesia air embolism cardiac arrest gas embolism intraoperative cardiac arrest intraoperative myocardial infarction pulmonary embolism spine surgery |
| title | Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position |
| title_full | Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position |
| title_fullStr | Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position |
| title_full_unstemmed | Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position |
| title_short | Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position |
| title_sort | differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position |
| topic | air embolism cardiac arrest gas embolism intraoperative cardiac arrest intraoperative myocardial infarction pulmonary embolism spine surgery |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=4;spage=485;epage=487;aulast=Khouri |
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