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Pulmonary Embolism During Hepatoblastoma Resection
- Source :
- Turkish Journal of Anaesthesiology and Reanimation
- Publication Year :
- 2020
- Publisher :
- Galenos Yayinevi, 2020.
-
Abstract
- Although hepatoblastoma is rare, it is the most malignant tumour of childhood. Treatment is usually done by surgical resection and chemotherapy. The mortality and morbidity have decreased due to improvements in the treatments. In this process, hepatic resection has a risk of pulmonary embolism, and this condition could be fatal. In this case, a 9-month-old patient who was treated with chemotherapy and then underwent hepatectomy was presented. We used non-invasive methods such as the perfusion index (PI), the plethysmographic variability index (PVI) (Massimo Radical 7) and non-invasive total haemoglobin measurement (SpHb) rather than invasive measurements. During closure of the surgical skin incision, the end-tidal CO2 (ETCO2) value dropped, after which arrhythmia and bradycardia resulted in cardiac arrest. Cardiopulmonary resuscitation (CPR) was initiated. However, the patient did not respond to CPR. We concluded that heparin may be administered to reduce the risk of thrombosis in patients undergoing liver surgery.
- Subjects :
- Bradycardia
medicine.medical_specialty
Chemotherapy
Hepatoblastoma
pulmonary embolism
business.industry
medicine.medical_treatment
Paediatric Anaesthesia
Case Report
Heart arrest
Heparin
hepatoblastoma
medicine.disease
Thrombosis
Pulmonary embolism
Surgery
medicine
Cardiopulmonary resuscitation
Hepatectomy
medicine.symptom
business
medicine.drug
Subjects
Details
- ISSN :
- 26676370 and 2667677X
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Turkish Journal of Anaesthesiology and Reanimation
- Accession number :
- edsair.doi.dedup.....0d5d3301f5cffe4ab740077cfc1e08ae