Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy.

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dc.contributor.authorCherian, Ven_US
dc.contributor.authorDivatia, J Ven_US
dc.contributor.authorKulkarni, Aen_US
dc.contributor.authorDasgupta, Den_US
dc.date.accessioned2001-07-08en_US
dc.date.accessioned2009-06-02T10:39:23Z
dc.date.available2001-07-08en_US
dc.date.available2009-06-02T10:39:23Z
dc.date.issued2001-07-08en_US
dc.description.abstractMassive 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.affiliationDepartment of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai - 400 012, India.en_US
dc.identifier.citationCherian 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): 185-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/115673
dc.language.isoengen_US
dc.source.urihttps://www.jpgmonline.comen_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshCarcinoma, Squamous Cell --surgeryen_US
dc.subject.meshCardiac Tamponade --diagnosisen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshEsophageal Neoplasms --surgeryen_US
dc.subject.meshEsophagectomyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHypotension --etiologyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshSuctionen_US
dc.titleCardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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