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胸外科手术中 superior vena cava clamping(上腔静脉阻断):对麻醉医生的影响。

Superior vena cava clamping during thoracic surgery: Implications for the anesthesiologist.

作者信息

Raut Monish S, Das Swetanka, Sharma Rohitash, Daniel Elvin, Motihar Amit, Verma Arvind, Kar Sibashankar, Maheshwari Arun, Shivnani Ganesh, Kumar Arvind

机构信息

Department of Cardiac Anesthesiology, Sir Ganga Ram Hospital, New Delhi, India.

Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India.

出版信息

Ann Card Anaesth. 2018 Jan-Mar;21(1):85-87. doi: 10.4103/aca.ACA_125_17.

Abstract

Resection and reconstruction of the SVC is a challenging Intraoperative situation owing to the potential complications after clamping a patent vessel. Hemodynamic imbalance and neurological effects of SVC clamping can be life threatening. These complications can be prevented by careful intraoperative monitoring and management. Anaesthesiologist must be aware of different options to manage such challenging situations.

摘要

由于夹闭通畅血管后可能出现并发症,上腔静脉切除与重建是具有挑战性的术中情况。上腔静脉夹闭导致的血流动力学失衡和神经学影响可能危及生命。通过仔细的术中监测与管理可预防这些并发症。麻醉医生必须了解应对此类具有挑战性情况的不同方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5857/5791501/63e0313d0c55/ACA-21-85-g001.jpg

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