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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 12/2013

01.12.2013 | Perioperative Cardiovascular Rounds

Hemodynamic instability and fluid responsiveness

verfasst von: Francis Toupin, MD, André Denault, MD, PhD, Yoan Lamarche, MD, Alain Deschamps, MD, PhD

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 12/2013

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Excerpt

The rapid response team was called to evaluate a 64-yr-old hypotensive and hypoxic female patient hospitalized for deep venous thrombosis. Low-molecular-weight heparin had been initiated two days previously. The rapid response team observed her vital signs: heart rate, 110 beats·min−1; blood pressure, 90/65 mmHg; and oxygen saturation, 90% while receiving 100% oxygen via a non-rebreather face mask. Using bedside focused ultrasonography, the patient’s inferior vena cava was found to be < 2 cm and to collapse during inspiration. Lung ultrasonography revealed a spontaneous left-sided hemothorax. She was transferred to the intensive care unit, and a chest tube was inserted while coagulation was corrected using fresh frozen plasma. A chest radiograph confirmed the left-sided hemothorax. An inferior vena cava filter was inserted and the patient’s condition rapidly stabilized. She was discharged from hospital three days later. …
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Metadaten
Titel
Hemodynamic instability and fluid responsiveness
verfasst von
Francis Toupin, MD
André Denault, MD, PhD
Yoan Lamarche, MD
Alain Deschamps, MD, PhD
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 12/2013
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-013-0036-2

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