Anesthesia for bone marrow harvesting in the prone position in a patient with preexisting pericardial tamponade
Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh School of Medicine, Montefiore Hospital, PA.Journal of Clinical Anesthesia (Impact Factor: 1.19). 03/1990; 2(2):133-7. DOI: 10.1016/0952-8180(90)90069-F
Refractory pericardial tamponade developed in an 18-year-old man with recurrent lymphoma. Invasive monitoring guided anesthetic management for bone marrow harvesting for autologous transplantation. The use of the prone position did not lead to adverse hemodynamic effects. The presence of a double pulse was demonstrated by pulse oximetry.
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ABSTRACT: Cardiac output and pleural, pericardial, arterial and cardiac pressures were measured in baboons during different modes of ventilation in the presence of acute cardiac tamponade. Fluctuations in pleural pressure during intermittent positive pressure ventilation were transmitted to the pericardial fluid. Cardiac output and transmural right ventricular end-diastolic pressure were significantly greater during spontaneous ventilation than during intermittent positive pressure ventilation with or without positive end-expiratory pressure. It is recommended that a patient undergoing surgery for cardiac tamponade be allowed to breathe spontaneously until the chest is opened and the pericardium incised.BJA British Journal of Anaesthesia 06/1979; 51(5):409-15. DOI:10.1093/bja/51.5.409 · 4.85 Impact Factor
Article: Anesthesia and Pericardial DiseaseAnesthesia & Analgesia 05/1983; 62(4):431-43. DOI:10.1213/00000539-198304000-00010 · 3.47 Impact Factor
- Anesthesia & Analgesia 12/1985; 64(11):1129-30. DOI:10.1213/00000539-198511000-00017 · 3.47 Impact Factor
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