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From Prone to Prepared: Airway Management in a Patient With Penetrating Thoracic Trauma.
Cureus
December 2024
Anesthesiology, Unidade Local de Saúde de São José, Lisbon, PRT.
Perioperative and critical care management following penetrating thoracic trauma represents a complex challenge. Those who survive the early trauma approach and reach the hospital alive often remain in critical condition, with cardiocirculatory complications and major pulmonary injuries. Additional difficulty arises from the presence of a weapon , particularly in a dorsal location, which limits patient positioning, and the safe manipulation of both the weapon and the patient.
View Article and Find Full Text PDFExtracorporeal cardio-pulmonary resuscitation in a patient with missed diagnosis of sodium nitrite intoxication.
Perfusion
March 2024
Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Article Synopsis
- Sodium nitrite (NaNO) poisoning can lead to acute methemoglobinemia, which complicates emergency medical responses during cardiac arrest.
- A case is reported where a patient suffered cardiac arrest after deliberate self-intoxication, but methemoglobinemia went undetected during resuscitation efforts, contributing to the outcome.
- The case underscores the importance of quickly identifying the poison and administering the appropriate antidotes to improve survival chances in similar emergencies.
The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients-A Literature Review.
J Clin Med
October 2023
Department of Cardiovascular Surgery and Transplantation, John Paul II Hospital, 31-202 Krakow, Poland.
Article Synopsis
- * Extracorporeal life support (ECLS) rewarming is the recommended first-line treatment for these patients, focusing on quickly restoring body temperature and ensuring proper organ blood flow.
- * Veno-arterial extracorporeal membrane oxygenation (ECMO) is a preferred method of ECLS, known for its efficiency but requires skilled medical staff due to its invasive nature and associated risks.
Case report: Refractory cardiac arrest supported with veno-arterial-venous extracorporeal membrane oxygenation and left-ventricular Impella CP-Physiological insights and pitfalls of ECMELLA.
Front Cardiovasc Med
November 2022
Department of Cardiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Introduction: To the best of our knowledge, this is the first case report which provides insights into patient-specific hemodynamics during veno-arterio-venous-extracorporeal membrane oxygenation (VAV ECMO) combined with a left-ventricular (LV) Impella micro-axial pump for therapy-refractory cardiac arrest due to acute myocardial infarction, complicated by acute lung injury (ALI).
Patient Presentation: A 54-year-old male patient presented with ST-segment elevation acute coronary syndrome complicated by out-of-hospital cardiac arrest with ventricular fibrillation upon arrival of the emergency medical service. As cardiac arrest was refractory to advanced cardiac life support, the patient was transferred to the Cardiac Arrest Center for immediate initiation of extracorporeal cardiopulmonary resuscitation (ECPR) with peripheral VA ECMO and emergency percutaneous coronary intervention using drug eluting stents in the right coronary artery.
Pilot study: advanced haemodynamic monitoring after acute spinal cord injury-Keep the pressure up?
BMC Anesthesiol
September 2022
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Background: Although the use of vasopressors to maintain haemodynamic goals after acute spinal cord injury (SCI) is still recommended, evidence regarding the target values and possible risks of this practice is limited, and data on haemodynamic parameters unaffected by catecholamines are rare. In this pilot study, we show the haemodynamic profile of patients with acute SCI mainly unaffected by vasopressor use and other factors that influence the cardiovascular system.
Methods: From March 2018 to March 2020, we conducted a prospective, single-centre pilot study of 30 patients with acute SCI.
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