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Titolo:
ASYSTOLE AS A NEUROLOGIC SIGN
Autore:
TYLER DS; BACON D; MAHENDRU V; LEMA MJ;
Indirizzi:
VET ADM MED CTR,ANESTHESIOL SERV,3495 BAILEY AVE BUFFALO NY 14215 SUNY BUFFALO,DEPT ANESTHESIOL & PAIN MED BUFFALO NY 14260 ROSWELL PK CANC INST BUFFALO NY 14263
Titolo Testata:
Journal of neurosurgical anesthesiology
fascicolo: 1, volume: 9, anno: 1997,
pagine: 29 - 30
SICI:
0898-4921(1997)9:1<29:AAANS>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRACRANIAL HYPOTENSION; UNEXPLAINED BRADYCARDIA; CRANIOTOMY CLOSURE;
Keywords:
ASYSTOLE; ELEVATED INTRACRANIAL PRESSURE; BRADYCARDIA; BRAIN-STEM COMPRESSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
9
Recensione:
Indirizzi per estratti:
Citazione:
D.S. Tyler et al., "ASYSTOLE AS A NEUROLOGIC SIGN", Journal of neurosurgical anesthesiology, 9(1), 1997, pp. 29-30

Abstract

The authors present a case of asystole occurring during dural closurefollowing craniotomy with the patient in the supine position. This 22-year-old woman had a left parietal lobe tumor resected with bipolar cautery. Standard intraoperative monitoring with a left radial arterialline and a right internal jugular central venous catheter was used during the surgery. The anesthetic course was complicated by intraoperative bleeding that responded to three units of fresh frozen plasma. Prior to closure, the operative site appeared dry and intact. After closure, asystole occurred suddenly and resolved with evacuation of 500 ml of blood. It is speculated that the asystole was preceded by an acute increase in intracranial pressure and a subsequent secondary brainstemcompression.

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Documento generato il 19/09/20 alle ore 12:54:03