FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2028096680> ?p ?o ?g. }

• W2028096680 endingPage "658" @default.
• W2028096680 startingPage "658" @default.
• W2028096680 abstract "To the Editor: Pericardial tamponade restricts diastolic filling of the heart [1-5]. Then, high intravascular volume and preload are required for adequate and end-diastolic volume and stroke volume. Increased heart rate and contractility and peripheral vasoconstriction help maintain blood pressure in the face of decreased stroke volume [1-4]. Any anesthetic (including ketamine and etomidate) or even positive pressure ventilation [6] can decrease preload, afterload, contractility, or heart rate and precipitate cardiovascular collapse [1,3,7-9]. Accordingly, removal of fluid from the pericardial sac should always be considered before anesthesia induction for pericardial tamponade. Percutaneous pericardiocentesis is often not helpful in traumatic pericardial tamponade [2,7] because clots may prevent aspiration of blood [2], continued hemorrhaging rapidly refills the pericardial sac with blood [2,6,7], and the needle can traumatize the heart with additional hemorrhage into the pericardial sac [5]. Pericardiocentesis, however, can be a temporizing measure in the severely compromised patient [4,7,8] until definitive surgical establishment of a pericardial window. A pericardial window can be established under local anesthesia [9] via the subxiphoid or lateral thoracotomy approach [1,2,5,8,9]. The subxiphoid approach is less useful for trauma because limited surgical exposure may preclude repair of cardiac wounds [2]. However, a pericardial window during awake lateral thoracotomy may be both poorly tolerated and dangerous in the distressed, moving patient [7]. A blunt trauma victim [2] recently presented for an emergent surgical pericardial window for recurrent acute pericardial tamponade. Although the patient was not hypotensive, jugular venous distention, pulsus paradoxus [1,3,7], patient distress [4], and echocardiographic signs were present. As an alternative to endotracheal intubation after induction of anesthesia with cardiovascular depressant anesthetics, we considered awake intubation of the trachea without sedation; we found no reports of this technique in the literature. With persuasive explanation of the procedure to the patient (but without sedation) [9], along with lidocaine topical anesthesia to the pharynx, larynx, and trachea, we placed an orotracheal tube over a bronchoscope in a few minutes without patient reaction. Then, anesthesia was gently induced (N (2) O, isoflurane, and fentanyl) without cardiovascular depression. The flexible bronchoscope was chosen as the least stimulating technique for awake intubation. In the trauma patient, awake fiberoptic intubation may also be the ideal intubation technique if a full stomach and a cervical spine injury coexist. We further speculate that awake fiberoptic intubation, which avoids depressant anesthetics, could be considered in other conditions of decreased cardiovascular reserve, such as ischemic heart disease. This work was supported in part by National Heart, Lung, and Blood Institute Grant HL-42637. Peter H. Breen, MD, FRCPC Mark A. MacVay, MD Department of Anesthesiology University of California at Irvine UCI Medical Center, Orange, CA 92613" @default.
• W2028096680 created "2016-06-24" @default.
• W2028096680 creator A5008823314 @default.
• W2028096680 creator A5035619104 @default.
• W2028096680 date "1996-09-01" @default.
• W2028096680 modified "2023-10-02" @default.
• W2028096680 title "Pericardial Tamponade" @default.
• W2028096680 cites W108976360 @default.
• W2028096680 cites W1992261179 @default.
• W2028096680 cites W1996162338 @default.
• W2028096680 cites W2030062609 @default.
• W2028096680 cites W2116500115 @default.
• W2028096680 cites W91531636 @default.
• W2028096680 doi "https://doi.org/10.1097/00000539-199609000-00043" @default.
• W2028096680 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/8780303" @default.
• W2028096680 hasPublicationYear "1996" @default.
• W2028096680 type Work @default.
• W2028096680 sameAs 2028096680 @default.
• W2028096680 citedByCount "3" @default.
• W2028096680 countsByYear W20280966802012 @default.
• W2028096680 crossrefType "journal-article" @default.
• W2028096680 hasAuthorship W2028096680A5008823314 @default.
• W2028096680 hasAuthorship W2028096680A5035619104 @default.
• W2028096680 hasBestOaLocation W20280966801 @default.
• W2028096680 hasConcept C141071460 @default.
• W2028096680 hasConcept C164705383 @default.
• W2028096680 hasConcept C178853913 @default.
• W2028096680 hasConcept C2777573719 @default.
• W2028096680 hasConcept C2778005868 @default.
• W2028096680 hasConcept C2778607678 @default.
• W2028096680 hasConcept C2778875491 @default.
• W2028096680 hasConcept C2779074627 @default.
• W2028096680 hasConcept C2779827179 @default.
• W2028096680 hasConcept C42219234 @default.
• W2028096680 hasConcept C48277249 @default.
• W2028096680 hasConcept C71924100 @default.
• W2028096680 hasConceptScore W2028096680C141071460 @default.
• W2028096680 hasConceptScore W2028096680C164705383 @default.
• W2028096680 hasConceptScore W2028096680C178853913 @default.
• W2028096680 hasConceptScore W2028096680C2777573719 @default.
• W2028096680 hasConceptScore W2028096680C2778005868 @default.
• W2028096680 hasConceptScore W2028096680C2778607678 @default.
• W2028096680 hasConceptScore W2028096680C2778875491 @default.
• W2028096680 hasConceptScore W2028096680C2779074627 @default.
• W2028096680 hasConceptScore W2028096680C2779827179 @default.
• W2028096680 hasConceptScore W2028096680C42219234 @default.
• W2028096680 hasConceptScore W2028096680C48277249 @default.
• W2028096680 hasConceptScore W2028096680C71924100 @default.
• W2028096680 hasIssue "3" @default.
• W2028096680 hasLocation W20280966801 @default.
• W2028096680 hasLocation W20280966802 @default.
• W2028096680 hasLocation W20280966803 @default.
• W2028096680 hasOpenAccess W2028096680 @default.
• W2028096680 hasPrimaryLocation W20280966801 @default.
• W2028096680 hasRelatedWork W1593454398 @default.
• W2028096680 hasRelatedWork W2059677858 @default.
• W2028096680 hasRelatedWork W2140831866 @default.
• W2028096680 hasRelatedWork W2286967962 @default.
• W2028096680 hasRelatedWork W2406290653 @default.
• W2028096680 hasRelatedWork W3092352053 @default.
• W2028096680 hasRelatedWork W3133762537 @default.
• W2028096680 hasRelatedWork W3135013072 @default.
• W2028096680 hasRelatedWork W4213215996 @default.
• W2028096680 hasRelatedWork W4236417054 @default.
• W2028096680 hasVolume "83" @default.
• W2028096680 isParatext "false" @default.
• W2028096680 isRetracted "false" @default.
• W2028096680 magId "2028096680" @default.
• W2028096680 workType "article" @default.