Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy
Abstract Background and objectives: Cardiac tamponade is potentially fatal medical condition, which rarely occurs as a complication of lung lobectomy. We present the first case of cardiac tamponade to develop in a Post-Anesthesia Care Unit following a lung lobectomy. Case report: A 54-year-old man...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Anestesiologia
2018-11-01
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| Series: | Revista Brasileira de Anestesiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000600633&tlng=pt |
| _version_ | 1819006585650806784 |
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| author | Hyung Mook Lee Young Jae Jeon Hye Won Chung Hyo Min Yun Mi Hyun Kim |
| author_facet | Hyung Mook Lee Young Jae Jeon Hye Won Chung Hyo Min Yun Mi Hyun Kim |
| author_sort | Hyung Mook Lee |
| collection | DOAJ |
| description | Abstract Background and objectives: Cardiac tamponade is potentially fatal medical condition, which rarely occurs as a complication of lung lobectomy. We present the first case of cardiac tamponade to develop in a Post-Anesthesia Care Unit following a lung lobectomy. Case report: A 54-year-old man with pulmonary squamous cell carcinoma underwent an apparently uncomplicated lung lobectomy. His hemodynamics was unremarkable throughout the surgery and initially in the Post-Anesthesia Care Unit. However, after 5 min in the Post-Anesthesia Care Unit, he suddenly became hypotensive and dyspneic. He responded poorly to inotropics and fluid resuscitation. Transesophageal echocardiography conducted by an anesthesiologist who suspected a cardiac etiology revealed a pericardial effusion compressing the heart. After a failed attempt of pericardiocentesis, an emergency pericardial window operation was performed. The patient improved dramatically once the heart was decompressed. Conclusion: Since cardiac tamponade is generally not suspected as a cause of hemodynamic instability after a lung lobectomy, as it was in this case, a misdiagnosis of the patient's condition may have led to improper management resulting in death. As anesthesiologists are often involved in the initial resuscitation of morbid patients in Post-Anesthesia Care Units, their acquaintance with various postoperative complications and competence in echocardiography for assessing cardiac problems may contribute to patient survival. |
| first_indexed | 2024-12-21T00:11:02Z |
| format | Article |
| id | doaj.art-ab956fbfc48c4262bb22d89e66938641 |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-12-21T00:11:02Z |
| publishDate | 2018-11-01 |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-ab956fbfc48c4262bb22d89e669386412022-12-21T19:22:21ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X2018-11-0168663363610.1016/j.bjane.2017.10.009Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomyHyung Mook LeeYoung Jae JeonHye Won ChungHyo Min YunMi Hyun KimAbstract Background and objectives: Cardiac tamponade is potentially fatal medical condition, which rarely occurs as a complication of lung lobectomy. We present the first case of cardiac tamponade to develop in a Post-Anesthesia Care Unit following a lung lobectomy. Case report: A 54-year-old man with pulmonary squamous cell carcinoma underwent an apparently uncomplicated lung lobectomy. His hemodynamics was unremarkable throughout the surgery and initially in the Post-Anesthesia Care Unit. However, after 5 min in the Post-Anesthesia Care Unit, he suddenly became hypotensive and dyspneic. He responded poorly to inotropics and fluid resuscitation. Transesophageal echocardiography conducted by an anesthesiologist who suspected a cardiac etiology revealed a pericardial effusion compressing the heart. After a failed attempt of pericardiocentesis, an emergency pericardial window operation was performed. The patient improved dramatically once the heart was decompressed. Conclusion: Since cardiac tamponade is generally not suspected as a cause of hemodynamic instability after a lung lobectomy, as it was in this case, a misdiagnosis of the patient's condition may have led to improper management resulting in death. As anesthesiologists are often involved in the initial resuscitation of morbid patients in Post-Anesthesia Care Units, their acquaintance with various postoperative complications and competence in echocardiography for assessing cardiac problems may contribute to patient survival.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000600633&tlng=ptCardiac tamponadeEchocardiographyTransesophagealPneumonectomyAnesthesia recovery period |
| spellingShingle | Hyung Mook Lee Young Jae Jeon Hye Won Chung Hyo Min Yun Mi Hyun Kim Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy Revista Brasileira de Anestesiologia Cardiac tamponade Echocardiography Transesophageal Pneumonectomy Anesthesia recovery period |
| title | Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy |
| title_full | Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy |
| title_fullStr | Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy |
| title_full_unstemmed | Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy |
| title_short | Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy |
| title_sort | fatal cardiac tamponade that developed in the post anesthesia care unit a rare complication after lung lobectomy |
| topic | Cardiac tamponade Echocardiography Transesophageal Pneumonectomy Anesthesia recovery period |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000600633&tlng=pt |
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