Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery

Hypotension during thoracic surgery is traditionally attributed to intrathoracic causes such as pulmonary bleeding, ventilation, causing decreased venous return, and a decrease in myocardial contractility. We present a case of unexplained hypotension presenting at the end of left-sided thoracic surg...

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Detalles Bibliográficos
Autores principales: Cohen, Jonathan B, Hirschi, Michael R, Patel, Sephalie Y, Liu, Jinhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609276/
https://www.ncbi.nlm.nih.gov/pubmed/31309018
http://dx.doi.org/10.7759/cureus.4593
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author Cohen, Jonathan B
Hirschi, Michael R
Patel, Sephalie Y
Liu, Jinhong
author_facet Cohen, Jonathan B
Hirschi, Michael R
Patel, Sephalie Y
Liu, Jinhong
author_sort Cohen, Jonathan B
collection PubMed
description Hypotension during thoracic surgery is traditionally attributed to intrathoracic causes such as pulmonary bleeding, ventilation, causing decreased venous return, and a decrease in myocardial contractility. We present a case of unexplained hypotension presenting at the end of left-sided thoracic surgery. The cause of hypotension was ultimately found to be due to intra-abdominal bleeding from a splenic injury. This case reminds the anesthesiologist to be vigilant of non-thoracic causes of hypotension during left-sided lung surgery.
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spelling pubmed-66092762019-07-15 Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery Cohen, Jonathan B Hirschi, Michael R Patel, Sephalie Y Liu, Jinhong Cureus Anesthesiology Hypotension during thoracic surgery is traditionally attributed to intrathoracic causes such as pulmonary bleeding, ventilation, causing decreased venous return, and a decrease in myocardial contractility. We present a case of unexplained hypotension presenting at the end of left-sided thoracic surgery. The cause of hypotension was ultimately found to be due to intra-abdominal bleeding from a splenic injury. This case reminds the anesthesiologist to be vigilant of non-thoracic causes of hypotension during left-sided lung surgery. Cureus 2019-05-03 /pmc/articles/PMC6609276/ /pubmed/31309018 http://dx.doi.org/10.7759/cureus.4593 Text en Copyright © 2019, Cohen et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Cohen, Jonathan B
Hirschi, Michael R
Patel, Sephalie Y
Liu, Jinhong
Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery
title Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery
title_full Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery
title_fullStr Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery
title_full_unstemmed Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery
title_short Non-thoracic Source of Bleeding During Left-sided Thoracic Surgery
title_sort non-thoracic source of bleeding during left-sided thoracic surgery
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609276/
https://www.ncbi.nlm.nih.gov/pubmed/31309018
http://dx.doi.org/10.7759/cureus.4593
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AT patelsephaliey nonthoracicsourceofbleedingduringleftsidedthoracicsurgery
AT liujinhong nonthoracicsourceofbleedingduringleftsidedthoracicsurgery

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