casos com choque obstrutivo e necessidade de realização de drenagem desses casos, especialmente em nos quadros de choque de etiologia incerta e. geral de derrame pericárdico foi de As alterações hemodinâmicas do tamponamento cardíaco levam a um choque obstrutivo grave e de alta letalidade . Resultados: A presença de choque obstrutivo agudo pôde ser evidenciada pelo aumento da PMAP (de ± para. ± mmHg) (P<) e pela.

Author: Faeshura Dar
Country: Oman
Language: English (Spanish)
Genre: Love
Published (Last): 24 May 2011
Pages: 390
PDF File Size: 1.59 Mb
ePub File Size: 14.64 Mb
ISBN: 404-3-74186-710-8
Downloads: 9991
Price: Free* [*Free Regsitration Required]
Uploader: Voshura

Rita Faria a. For years, the treatment of high-risk pulmonary embolism PE was based on two well-defined strategies: There have been few studies comparing surgical embolectomy with thrombolysis, all of them retrospective. A systematic review by Shaft et al. J Thorac Cardiovasc Surg,pp. New less invasive ventricular reconstruction technique in Radiology,pp.

The setting was interpreted as high-risk PE and the patient was transferred to the intensive care unit ICU. Enviado por Carlos flag Denunciar. A Transthoracic echocardiogram in apical 4-chamber view in the emergency room revealing marked dilatation of the right chambers and straightening of the ventricular septum; B transthoracic echocardiogram one month after discharge showing no significant abnormalities.

Guidelines on the diagnosis and management of acute pulmonary embolism. It is distributed to all members of the Portuguese Societies of Cardiology, Internal Medicine, Pneumology and Cardiothoracic Surgery, as well as to leading non-Portuguese cardiologists and to virtually all cardiology societies worldwide. J Allergy Clin Immunol.

Se continuar a navegar, consideramos que aceita o seu uso. Extracorporeal membrane oxygenation in circulatory and Thorax, 63pp. However, two hours after the procedure the patient again suffered shock refractory to fluid therapy and inotropic support, with persisting RV dilatation.


The Portuguese Journal of Cardiology, the official journal of the Portuguese Society of Cardiology, was founded in with the aim of keeping Portuguese cardiologists informed through the publication of scientific articles on areas such as arrhythmology and electrophysiology, cardiovascular surgery, intensive care, coronary artery disease, cardiovascular imaging, hypertension, heart failure and cardiovascular prevention. Hemoglobinuria is common and should not be confused with hematuria.

This item has received. Use of rheolytic thrombectomy in treatment of acute massive pulmonary embolism.

Choque diagnóstico e tratamento na emergência

Comparison of percutaneous ultrasound-accelerated thrombolysis versus catheter-directed thrombolysis in patients with acute massive pulmonary embolism. Improvement was seen in hemodynamics and gas exchange, but various bleeding complications ensued, requiring blood transfusion and leading to multiple organ dysfunction necessitating renal replacement therapy.

Rheolytic catheter for percutaneous removal of thrombus. The catheter was activated proximally to distally, with one or two complete passes. The team should include an interventional cardiologist with experience in this area, an anesthetist and an internist who are responsible for the initial assessment and referral of the patientand an intensivist or cardiologist-intensivist able to deal with periprocedural complications.

Expedient pulmonary embolectomy for acute pulmonary embolism: J Invasive Cardiol, 20pp. At the time of the procedure two patients were sedated and ventilated, and all were under inotropic support. American College of Chest Physicians evidence-based clinical practice guidelines. The patient remained under ventilatory and inotropic support for 10 days, followed by a favorable clinical course and complete neurological recovery.

The authors have no conflicts of interest to declare. Print Send to a friend Export reference Mendeley Statistics. Percutaneous thrombectomy in the treatment of acute pulmonary embolism: In the absence of controlled trials directly comparing different therapeutic options, the best strategy should be decided case by case by a multidisciplinary team, always bearing in mind the factors specific to each patient, the availability of different therapeutic options and the center’s experience.


CHOQUE OBSTRUTIVO by janilsa silva on Prezi

However, they have never been assessed in randomized clinical trials, and so doubts remain as to their efficacy and safety. According to the current European Society of Cardiology guidelines and the American Heart Association Scientific Statement, catheter-based interventions can be performed as an alternative to thrombolysis when there are absolute contraindications, as adjunctive therapy when thrombolysis has failed to improve hemodynamics, or as an alternative to surgery if the latter is unavailable or contraindicated.

Rev Port Cardiol, 20pp. The role of Impella in high-risk percutaneous coronary Thrombolysis during cardiopulmonary resuscitation in fulminant pulmonary embolism: The role of pulmonary embolectomy in the treatment of acute pulmonary embolism: Show more Show less.

The Journal is a monthly publication with high standards obxtrutivo quality in terms of scientific content and production. As well as complications related to vascular access, contrast reactions and anticoagulation, there are complications specifically related to percutaneous techniques, particularly the risk of perforation leading to hemoptysis or tamponade, pulmonary infarction, and reperfusion syndrome with alveolar hemorrhage.

Inotropic and ventilatory support were withdrawn after four days, low molecular weight heparin was begun on the fifth day, and craniotomy and removal of osbtrutivo AVM were performed two months later.