Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy.
dc.contributor.author | Cherian, V | en_US |
dc.contributor.author | Divatia, J V | en_US |
dc.contributor.author | Kulkarni, A | en_US |
dc.contributor.author | Dasgupta, D | en_US |
dc.date.accessioned | 2001-07-08 | en_US |
dc.date.accessioned | 2009-06-02T10:39:23Z | |
dc.date.available | 2001-07-08 | en_US |
dc.date.available | 2009-06-02T10:39:23Z | |
dc.date.issued | 2001-07-08 | en_US |
dc.description.abstract | Massive gastric tube dilatation causing cardiomediastinal tamponade is an unusual cause of obstructive shock after transthoracic oesophagectomy. A 55-year-old female was operated for total transthoracic oesophagectomy. Twelve hours after the surgery, she developed hypotension and raised central venous pressure unresponsive to fluid infusion and ionotropes. X-ray chest showed a massively dilated stomach, which was causing intrathoracic tamponade. Suction applied to the nasogastric tube led to aspiration of 150-200 ml of fluid and a large volume of air, which led to resolution of the haemodynamic instability. A simple manoeuvre like nasogastric suction in postoperative case of oesophagectomy can serve as a diagnostic as well as therapeutic tool. It must be performed before resorting to invasive and expensive examination or intervention. | en_US |
dc.description.affiliation | Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai - 400 012, India. | en_US |
dc.identifier.citation | Cherian V, Divatia JV, Kulkarni A, Dasgupta D. Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy. Journal of Postgraduate Medicine. 2001 Jul-Sep; 47(3): 185-7 | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/115673 | |
dc.language.iso | eng | en_US |
dc.source.uri | https://www.jpgmonline.com | en_US |
dc.subject.mesh | Blood Pressure | en_US |
dc.subject.mesh | Carcinoma, Squamous Cell --surgery | en_US |
dc.subject.mesh | Cardiac Tamponade --diagnosis | en_US |
dc.subject.mesh | Diagnosis, Differential | en_US |
dc.subject.mesh | Esophageal Neoplasms --surgery | en_US |
dc.subject.mesh | Esophagectomy | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Hypotension --etiology | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Postoperative Complications | en_US |
dc.subject.mesh | Suction | en_US |
dc.title | Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy. | en_US |
dc.type | Case Reports | en_US |
dc.type | Journal Article | en_US |
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