The effect of volume status of the right-left shunt in a patient with a patent foramen ovale (Journal article)

Sgouropoulou, S. M./ Papadopoulos, G. S./ Arnaoutoglou, E. M./ Xenakis, T. A./ Katsouras, C. S.


This is a description of the anaesthetic management of a patient with a flow patent foramen ovale undergoing intramedullary nailing of the femur. In order to detect the flow patent foramen ovale, we used transoesophageal echocardiography. During the ventilation maneuver with positive airway pressure of 20 cmH2O, a right-to-left interatrial shunt was observed. After the administration of 500 ml hydroxy-starch solution (6%) intravenously, detection of the right-to-left shunt flow was no longer possible. This case report shows that the volume status in a patient with a patent foramen ovale could influence the right to left interatrial shunt during general anaesthesia.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Anesthesia, General,Blood Volume/physiology,Echocardiography, Transesophageal,Femur/surgery,Heart Septal Defects, Atrial/complications/drug therapy/ultrasonography,Humans,Intraoperative Complications/drug therapy/ultrasonography,Male,Middle Aged,Orthopedic Procedures,Plasma Substitutes/therapeutic use,Starch/therapeutic use
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/24535
ISSN: 0003-2417
Link: http://www.ncbi.nlm.nih.gov/pubmed/11593873
http://www.springerlink.com/content/0h42m4gt1vmu5279/fulltext.pdf
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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