Literature DB >> 8403115

Blunt cardiac injury and intraoperative hypoxaemia.

G Kantor1, J H Devitt.   

Abstract

A 28-yr-old man sustained blunt chest trauma in a motor vehicle accident. Severe intraoperative hypoxaemia occurred, unresponsive to oxygen and positive expiratory pressure therapy. Trans-oesophageal echocardiography revealed myocardial contusion and tricuspid valve rupture. Dobutamine improved left ventricular function and ejection fraction resulting in an immediate improvement in arterial oxygenation and saturation. Tricuspid injury and the diagnosis of myocardial contusion are discussed. The case highlights the importance of a non-pulmonary mechanism of hypoxaemia.

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Year:  1993        PMID： 8403115     DOI： 10.1007/BF03009733

Source DB:  PubMed          Journal:  Can J Anaesth        ISSN： 0832-610X            Impact factor:   5.063


  8 in total

1.  Myocardial contusion in blunt trauma: clinical characteristics, means of diagnosis, and implications for patient management.

Authors:  T C Fabian; E C Mangiante; C R Patterson; L W Payne; M L Isaacson
Journal:  J Trauma       Date:  1988-01

2.  Traumatic tricuspid insufficiency.

Authors:  S M Liu; Y Sako; C S Alexander
Journal:  Am J Cardiol       Date:  1970-08       Impact factor: 2.778

3.  Selective monitoring of patients with suspected blunt cardiac injury.

Authors:  J Reif; J L Justice; W R Olsen; R L Prager
Journal:  Ann Thorac Surg       Date:  1990-10       Impact factor: 4.330

4.  Traumatic tricuspid insufficiency. An underdiagnosed disease.

Authors:  C Gayet; B Pierre; J P Delahaye; G Champsaur; X Andre-Fouet; P Rueff
Journal:  Chest       Date:  1987-09       Impact factor: 9.410

5.  The use of gated radionuclide angiography in the diagnosis of cardiac contusion.

Authors:  J E Fenner; R Knopp; B Lee; P A dos Santos; R J Wessel; C V Dang; S N Parks
Journal:  Ann Emerg Med       Date:  1984-09       Impact factor: 5.721

6.  Chronic tricuspid regurgitation and bifascicular block due to blunt chest trauma.

Authors:  M G Perlroth; E Hazan; Y Lecompte; G Gougne
Journal:  Am J Med Sci       Date:  1986-02       Impact factor: 2.378

7.  Anatomic and cardiopulmonary responses to trauma with associated blunt chest injury.

Authors:  G R Sutherland; J E Calvin; A A Driedger; R L Holliday; W J Sibbald
Journal:  J Trauma       Date:  1981-01

8.  Significance of myocardial contusion following blunt chest trauma.

Authors:  R F McLean; J H Devitt; B A McLellan; J Dubbin; L E Ehrlich; D Dirkson
Journal:  J Trauma       Date:  1992-08
  8 in total
  1 in total

Review 1.  An introduction to transoesophageal echocardiography: II. Clinical applications.

Authors:  D Oxorn; G Edelist; M S Smith
Journal:  Can J Anaesth       Date:  1996-03       Impact factor: 5.063
  1 in total

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