Case Report
Mediastinoskopi Girişimlerinde Kardiyopulmoner Bypass Gerektiren Damar Yaralanmalarında Anestezik Yaklaşım
Abstract
Mediastinoskopi; mediastinal lenf noduevrelemesi için gelişmiş görüntüleme yöntemlerine karşın (transtorasik iğne aspirasyonu, torakoskopik biyopsi, endoskopik ince iğne aspirasyonu gibi) halen altın standart olmaya devam etmektedir. Genellikle güvenli bir işlem olmasına rağmen, pnömotoraks, sol rekürren sinir hasarı, trakeal ya da özefagialrüptür ve büyük damar yaralanması nadir görülen ancak korkulan komplikasyonlardır.
Mortaliteye sebep olan en önemli komplikasyonu ise major kanamadır. Bu olgu sunumunda mediastinoskopi sırasında ciddi kanama gelişen ve kardiyopulmoner bypass altında onarım yapılan iki olgunun anestezik yaklaşımı tartışılmıştır.
Keywords
Project Number
Türk Anesteziyoloji ve Reanimasyon Derneği Ulusal Kongresi 2-6 Aralık 2015, Antalya
References
- 1. Albåge A, Henriksson G, Lindblom D. Repair of acute mediastinoscopic injury to the pulmonary artery using an intravascular approach and deep hypothermic circulatory arrest. Interact Cardiovasc Thorac Surg 2004; 3: 368-9.
- 2. Carlens E. Mediastinoscopy: a method for inspection and tissue biopsy in the superior mediastinum. Dis Chest 1959; 36: 343-52.
- 3. Lohser J, Donington JS, Mitchell JD, et all. Case 5-2005: anesthetic management of major hemorrhage during mediastinoscopy. J Cardiothorac Vasc Anesth 2005; 19: 678-83.
- 4. Lemaire A, Nikolic I, Petersen T, et all. Nine-year single center experience with cervical mediastinoscopy: complications and false negative rate. Ann Thorac Surg 2006; 82: 1185-9.
- 5. Park BJ, Flores R, Downey RJ, et all. Management of major hemorrhage during mediastinoscopy. J Thorac Cardiovasc Surg 2003; 126: 726-31.
- 6. Elsayed H. Haemothorax after mediastinoscopy: a word of caution. Eur J Cardiothorac Surg 2012; 41: 138-9.
- 7. Minowa M, Chida M, Eba S, et all. Pulmonary artery injury during mediastinoscopy controlled without gauze packing. J Cardiothorac Surg 2011; 6: 15.
- 8. Urschel JD. Conservative management (packing) of hemorrhage complicating mediastinoscopy. Ann Thorac Cardiovasc Surg 2000; 6: 9-12.
- 9. Nagayasu T, Tagawa T, Yamawaki N, et all. Successful management of severe pulmonary artery injury during mediastinoscopy. Gen Thorac Cardiovasc Surg 2011; 59: 73-6.
- 10. Bauer C, Winter C, Hentz JG, et all. Bronchial blocker compared to double-lumen tube for one-lung ventilation during thoracoscopy. Acta Anaesthesiol Scand 2001; 45: 250-4.
Year 2019,
Volume: 46 Issue: 3, 587 - 591, 16.09.2019
Abstract
Project Number
Türk Anesteziyoloji ve Reanimasyon Derneği Ulusal Kongresi 2-6 Aralık 2015, Antalya
References
- 1. Albåge A, Henriksson G, Lindblom D. Repair of acute mediastinoscopic injury to the pulmonary artery using an intravascular approach and deep hypothermic circulatory arrest. Interact Cardiovasc Thorac Surg 2004; 3: 368-9.
- 2. Carlens E. Mediastinoscopy: a method for inspection and tissue biopsy in the superior mediastinum. Dis Chest 1959; 36: 343-52.
- 3. Lohser J, Donington JS, Mitchell JD, et all. Case 5-2005: anesthetic management of major hemorrhage during mediastinoscopy. J Cardiothorac Vasc Anesth 2005; 19: 678-83.
- 4. Lemaire A, Nikolic I, Petersen T, et all. Nine-year single center experience with cervical mediastinoscopy: complications and false negative rate. Ann Thorac Surg 2006; 82: 1185-9.
- 5. Park BJ, Flores R, Downey RJ, et all. Management of major hemorrhage during mediastinoscopy. J Thorac Cardiovasc Surg 2003; 126: 726-31.
- 6. Elsayed H. Haemothorax after mediastinoscopy: a word of caution. Eur J Cardiothorac Surg 2012; 41: 138-9.
- 7. Minowa M, Chida M, Eba S, et all. Pulmonary artery injury during mediastinoscopy controlled without gauze packing. J Cardiothorac Surg 2011; 6: 15.
- 8. Urschel JD. Conservative management (packing) of hemorrhage complicating mediastinoscopy. Ann Thorac Cardiovasc Surg 2000; 6: 9-12.
- 9. Nagayasu T, Tagawa T, Yamawaki N, et all. Successful management of severe pulmonary artery injury during mediastinoscopy. Gen Thorac Cardiovasc Surg 2011; 59: 73-6.
- 10. Bauer C, Winter C, Hentz JG, et all. Bronchial blocker compared to double-lumen tube for one-lung ventilation during thoracoscopy. Acta Anaesthesiol Scand 2001; 45: 250-4.
There are 10 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Project Number | Türk Anesteziyoloji ve Reanimasyon Derneği Ulusal Kongresi 2-6 Aralık 2015, Antalya |
| Publication Date | September 16, 2019 |
| Submission Date | March 14, 2019 |
| Published in Issue | Year 2019 Volume: 46 Issue: 3 |