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Successful Management of Massive Air Embolism During Cardiopulmonary Bypass Using Multimodal Neuroprotection Strategies

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dc.creatorQuintero O.L.spa
dc.creatorGiraldo J.C.spa
dc.creatorSandoval N.F.spa
dc.date.accessioned2020-05-26T00:00:59Z
dc.date.available2020-05-26T00:00:59Z
dc.date.created2019spa
dc.description.abstractComplications and critical events during cardiopulmonary bypass (CPB) are very challenging, difficult to manage, and in some instances have the potential to lead to fatal outcomes. Massive cerebral air embolism is undoubtedly a feared complication during CPB. If not diagnosed and managed early, its effects are devastating and even fatal. It is a catastrophic complication and its early diagnosis and intraoperative management are still controversial. This is why the decision-making process during a massive cerebral air embolism represents a challenge for the entire surgical, anesthetic, and perfusion team. All caregivers involved in this event must synchronize their responses quickly, harmoniously, and in such a way that all interventions lead to minimizing the impact of this complication. Its occurrence leaves important lessons to the surgical team that faces it. The best management strategy for a complication of this type is prevention. Nevertheless, a surgical team may ultimately be confronted with such an occurrence at some point despite all the prevention strategies, as was the case with our patient. That is why, in each institution, no effort should be spared to establish cost-effective strategies for early detection and a clear and concise management protocol to guide actions once this complication is detected. It is the duty of each surgical team to determine and clearly organize which strategies will be followed. The purpose of this case study was to demonstrate that a massive air embolism can be rapidly detected using near-infrared spectroscopy monitoring and can be successfully corrected with a multimodal neuroprotection strategy. © The Author(s) 2018.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1177/1089253218819782
dc.identifier.issn10892532
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23296
dc.language.isoengspa
dc.publisherSAGE Publications Inc.spa
dc.relation.citationEndPage332
dc.relation.citationIssueNo. 3
dc.relation.citationStartPage324
dc.relation.citationTitleSeminars in Cardiothoracic and Vascular Anesthesia
dc.relation.citationVolumeVol. 23
dc.relation.ispartofSeminars in Cardiothoracic and Vascular Anesthesia, ISSN:10892532, Vol.23, No.3 (2019); pp. 324-332spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85059312104&doi=10.1177%2f1089253218819782&partnerID=40&md5=110d7eaf9799416f3e49bf93c2e130f5spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordFentanylspa
dc.subject.keywordintraoperativeeng
dc.subject.keywordMilrinonespa
dc.subject.keywordNoradrenalinspa
dc.subject.keywordAdultspa
dc.subject.keywordAir embolismspa
dc.subject.keywordAortic clampingspa
dc.subject.keywordArticlespa
dc.subject.keywordBispectral indexspa
dc.subject.keywordBrain perfusionspa
dc.subject.keywordCardiopulmonary bypassspa
dc.subject.keywordCase reportspa
dc.subject.keywordClinical articlespa
dc.subject.keywordComputer assisted tomographyspa
dc.subject.keywordCongenital heart diseasespa
dc.subject.keywordEarly diagnosisspa
dc.subject.keywordFemalespa
dc.subject.keywordHeart right ventriclespa
dc.subject.keywordHeart septum defectspa
dc.subject.keywordHeart tamponadespa
dc.subject.keywordHemodynamic monitoringspa
dc.subject.keywordHumanspa
dc.subject.keywordHyperthermiaspa
dc.subject.keywordIntensive care unitspa
dc.subject.keywordMediastinumspa
dc.subject.keywordNear infrared spectroscopyspa
dc.subject.keywordNeuroprotectionspa
dc.subject.keywordOxygen saturationspa
dc.subject.keywordPhysical examinationspa
dc.subject.keywordPulmonary arteryspa
dc.subject.keywordPulmonary valvespa
dc.subject.keywordSternotomyspa
dc.subject.keywordTransesophageal echocardiographyspa
dc.subject.keywordTricuspid valve regurgitationspa
dc.subject.keywordTricuspid valve repairspa
dc.subject.keywordVacuum assisted closurespa
dc.subject.keywordYoung adultspa
dc.subject.keywordAir embolismspa
dc.subject.keywordBrain embolismspa
dc.subject.keywordCardiopulmonary bypassspa
dc.subject.keywordDiagnostic imagingspa
dc.subject.keywordIntraoperative monitoringspa
dc.subject.keywordNeuroprotectionspa
dc.subject.keywordPeroperative complicationspa
dc.subject.keywordProceduresspa
dc.subject.keywordCardiopulmonary bypassspa
dc.subject.keywordEmbolismeng
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordIntracranial embolismspa
dc.subject.keywordIntraoperative complicationsspa
dc.subject.keywordMonitoringeng
dc.subject.keywordNeuroprotectionspa
dc.subject.keywordSpectroscopyeng
dc.subject.keywordYoung adultspa
dc.subject.keywordAir embolismspa
dc.subject.keywordCardiac surgical proceduresspa
dc.subject.keywordCardiopulmonary bypassspa
dc.subject.keywordCerebrovascular circulationspa
dc.subject.keywordIntracranial embolismspa
dc.subject.keywordNeuroprotectionspa
dc.titleSuccessful Management of Massive Air Embolism During Cardiopulmonary Bypass Using Multimodal Neuroprotection Strategiesspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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