Mau Funcionamento do Sistema de Circulação Extracorpórea: Relato de Caso
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
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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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:29462024-08-05T17:40:30.471422Repositório 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 |
|
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1808128841735995392 |