Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso

Detalhes bibliográficos
Autor(a) principal: De Almeida, Carlos Eduardo David
Data de Publicação: 2011
Outros Autores: Carraretto, Antônio Roberto [UNESP], Curi, Erick Freitas, Marques, Louisie Marcelle da Silva Almeida, Abatti, Roberta Eleni Monteiro
Tipo de documento: Artigo
Idioma: eng
por
spa
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/S0034-7094(11)70087-3
http://hdl.handle.net/11449/72769
Resumo: Background and objectives: The introduction of extracorporeal circulation in clinical practice was decisive for the development of modern cardiovascular surgery. Addition of new procedures and equipment, however, brings inherent risks and complications. The objective of this report is to describe a malfunction of the oxygenation system and emphasize the importance of the interaction among the medical team members to prevent errors and complications. Case Report: During valve replacement and IVC correction surgery, we observed a darker shade of red in the blood on the exit of the oxygenator. Laboratory tests demonstrated severe acidosis and hypoxemia. The entire system was evaluated, but the cause of the malfunction was not found. Measures to reduce damage were successfully instituted. After the surgery, the whole system underwent technical evaluation. Conclusions: Interaction among the medical team members, early diagnosis, and immediate intervention were fundamental for a favorable outcome. © 2011 Elsevier Editora Ltda.
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spelling Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de CasoMalfunction of the extracorporeal circulation system: Case reportAccident PreventionExtracorporeal CirculationIntraoperative Complicationsfentanylisofluranemidazolampancuroniumpropofolsufentanilthiopentalacidosisadultaorta valve regurgitationarterial gascase reportcontinuous infusionextracorporeal circulationheart valve replacementhumanhypothermiahypoxemialung circulationlung ventilationmaleoxygenatorpatient monitoringpericardiotomyperoperative complicationrespiratory arrestshuntingEquipment FailureHumansMaleMiddle AgedBackground and objectives: The introduction of extracorporeal circulation in clinical practice was decisive for the development of modern cardiovascular surgery. Addition of new procedures and equipment, however, brings inherent risks and complications. The objective of this report is to describe a malfunction of the oxygenation system and emphasize the importance of the interaction among the medical team members to prevent errors and complications. Case Report: During valve replacement and IVC correction surgery, we observed a darker shade of red in the blood on the exit of the oxygenator. Laboratory tests demonstrated severe acidosis and hypoxemia. The entire system was evaluated, but the cause of the malfunction was not found. Measures to reduce damage were successfully instituted. After the surgery, the whole system underwent technical evaluation. Conclusions: Interaction among the medical team members, early diagnosis, and immediate intervention were fundamental for a favorable outcome. © 2011 Elsevier Editora Ltda.Universidade de São Paulo (USP) Servico de Anestesiologia do Hospital Universitario Cassiano Antonio Moraes (HUCAM) Universidade Federal do Espírito Santo (UFES)Universidade Estadual de São Paulo (UNESP) The Departamento de Clínica Cirúrgica da UFES Responsible for the CET Integrado HUCAM-Hospital Geral (HAFPES)Co-responsible for the CET Integrado HUCAM-HAFPES Serviço de Anestesiologia do HUCAM-UFESServiço de Anestesiologia do HUCAMUFESAnesthesiology Resident at CET Integrado HUCAM-HAFPESUniversidade Estadual de São Paulo (UNESP) The Departamento de Clínica Cirúrgica da UFES Responsible for the CET Integrado HUCAM-Hospital Geral (HAFPES)Universidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Universidade Federal do Espírito Santo (UFES)Anesthesiology Resident at CET Integrado HUCAM-HAFPESDe Almeida, Carlos Eduardo DavidCarraretto, Antônio Roberto [UNESP]Curi, Erick FreitasMarques, Louisie Marcelle da Silva AlmeidaAbatti, Roberta Eleni Monteiro2014-05-27T11:26:06Z2014-05-27T11:26:06Z2011-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article777-785application/pdfhttp://dx.doi.org/10.1016/S0034-7094(11)70087-3Revista Brasileira de Anestesiologia, v. 61, n. 6, p. 777-785, 2011.0034-70941806-907Xhttp://hdl.handle.net/11449/7276910.1016/S0034-7094(11)70087-32-s2.0-848559806222-s2.0-84855980622.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporspaRevista Brasileira de Anestesiologia0.8500,320info:eu-repo/semantics/openAccess2023-11-14T06:12:43Zoai:repositorio.unesp.br:11449/72769Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-11-14T06:12:43Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
Malfunction of the extracorporeal circulation system: Case report
title Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
spellingShingle Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
De Almeida, Carlos Eduardo David
Accident Prevention
Extracorporeal Circulation
Intraoperative Complications
fentanyl
isoflurane
midazolam
pancuronium
propofol
sufentanil
thiopental
acidosis
adult
aorta valve regurgitation
arterial gas
case report
continuous infusion
extracorporeal circulation
heart valve replacement
human
hypothermia
hypoxemia
lung circulation
lung ventilation
male
oxygenator
patient monitoring
pericardiotomy
peroperative complication
respiratory arrest
shunting
Equipment Failure
Humans
Male
Middle Aged
title_short Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
title_full Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
title_fullStr Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
title_full_unstemmed Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
title_sort Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
author De Almeida, Carlos Eduardo David
author_facet De Almeida, Carlos Eduardo David
Carraretto, Antônio Roberto [UNESP]
Curi, Erick Freitas
Marques, Louisie Marcelle da Silva Almeida
Abatti, Roberta Eleni Monteiro
author_role author
author2 Carraretto, Antônio Roberto [UNESP]
Curi, Erick Freitas
Marques, Louisie Marcelle da Silva Almeida
Abatti, Roberta Eleni Monteiro
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade de São Paulo (USP)
Universidade Estadual Paulista (Unesp)
Universidade Federal do Espírito Santo (UFES)
Anesthesiology Resident at CET Integrado HUCAM-HAFPES
dc.contributor.author.fl_str_mv De Almeida, Carlos Eduardo David
Carraretto, Antônio Roberto [UNESP]
Curi, Erick Freitas
Marques, Louisie Marcelle da Silva Almeida
Abatti, Roberta Eleni Monteiro
dc.subject.por.fl_str_mv Accident Prevention
Extracorporeal Circulation
Intraoperative Complications
fentanyl
isoflurane
midazolam
pancuronium
propofol
sufentanil
thiopental
acidosis
adult
aorta valve regurgitation
arterial gas
case report
continuous infusion
extracorporeal circulation
heart valve replacement
human
hypothermia
hypoxemia
lung circulation
lung ventilation
male
oxygenator
patient monitoring
pericardiotomy
peroperative complication
respiratory arrest
shunting
Equipment Failure
Humans
Male
Middle Aged
topic Accident Prevention
Extracorporeal Circulation
Intraoperative Complications
fentanyl
isoflurane
midazolam
pancuronium
propofol
sufentanil
thiopental
acidosis
adult
aorta valve regurgitation
arterial gas
case report
continuous infusion
extracorporeal circulation
heart valve replacement
human
hypothermia
hypoxemia
lung circulation
lung ventilation
male
oxygenator
patient monitoring
pericardiotomy
peroperative complication
respiratory arrest
shunting
Equipment Failure
Humans
Male
Middle Aged
description Background and objectives: The introduction of extracorporeal circulation in clinical practice was decisive for the development of modern cardiovascular surgery. Addition of new procedures and equipment, however, brings inherent risks and complications. The objective of this report is to describe a malfunction of the oxygenation system and emphasize the importance of the interaction among the medical team members to prevent errors and complications. Case Report: During valve replacement and IVC correction surgery, we observed a darker shade of red in the blood on the exit of the oxygenator. Laboratory tests demonstrated severe acidosis and hypoxemia. The entire system was evaluated, but the cause of the malfunction was not found. Measures to reduce damage were successfully instituted. After the surgery, the whole system underwent technical evaluation. Conclusions: Interaction among the medical team members, early diagnosis, and immediate intervention were fundamental for a favorable outcome. © 2011 Elsevier Editora Ltda.
publishDate 2011
dc.date.none.fl_str_mv 2011-11-01
2014-05-27T11:26:06Z
2014-05-27T11:26:06Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/S0034-7094(11)70087-3
Revista Brasileira de Anestesiologia, v. 61, n. 6, p. 777-785, 2011.
0034-7094
1806-907X
http://hdl.handle.net/11449/72769
10.1016/S0034-7094(11)70087-3
2-s2.0-84855980622
2-s2.0-84855980622.pdf
url http://dx.doi.org/10.1016/S0034-7094(11)70087-3
http://hdl.handle.net/11449/72769
identifier_str_mv Revista Brasileira de Anestesiologia, v. 61, n. 6, p. 777-785, 2011.
0034-7094
1806-907X
10.1016/S0034-7094(11)70087-3
2-s2.0-84855980622
2-s2.0-84855980622.pdf
dc.language.iso.fl_str_mv eng
por
spa
language eng
por
spa
dc.relation.none.fl_str_mv Revista Brasileira de Anestesiologia
0.850
0,320
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 777-785
application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1803046478279606272

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