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.

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Choque diagnóstico e tratamento na emergência

She had undergone colorectal surgery 15 days previously. For years, the treatment of high-risk pulmonary embolism PE was based on two well-defined strategies: Rheolytic catheter for percutaneous removal of thrombus.

She was discharged after 58 days. There was no visible blood loss, although she had had severe rectal bleeding in the previous week. During the procedure she presented brief self-limited episodes of respiratory arrest and extreme bradycardia, followed by hemodynamic stabilization, withdrawal of vasopressor support and angiographic improvement. Catheter Cardiovasc Interv, 70pp. Management of cardiogenic shock: Hadian M, Pinsky MR.

CHOQUE OBSTRUTIVO by janilsa silva on Prezi

Crit Care Med, 29pp. Decision making in the surgical treatment of massive pulmonary embolism.

Vascular, 17pp. Pulmonary thromboembolism — current concepts. SRJ is a prestige metric based on the idea that not all citations are the same. This item has received. Guidelines on the diagnosis and management of acute pulmonary embolism. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.


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.

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.

Management of bleeding following major trauma: Given probable rethrombosis, life-saving thrombolysis was performed with alteplase mg over two hours and non-fractionated heparin was administered. Advanced Trauma Life Support Manual. J Allergy Clin Immunol. Please cite this article as: American College of Chest Physicians evidence-based clinical practice guidelines. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

New less invasive ventricular reconstruction technique in Various series have shown good results using these new techniques. Rheolytic thrombectomy in patient with massive pulmonary embolism: 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.

Oxygen delivery and consumption during sepsis. Thorac Cardiovasc Surg, 47pp. Role of thrombolysis in hemodynamically stable patients with pulmonary embolism.

You can change the settings or obtain more information by clicking here. Martins HS et al. Clinical observations on the pathophysiology and treat-Fisher MM. Teamwork is essential to minimize complications. Menon V, Hochman JS.


The authors have no conflicts of interest to declare. An angiographic review was performed at the end of the procedure Figure 4.

Thrombolysis during cardiopulmonary resuscitation in fulminant pulmonary embolism: Following the procedure, all patients were transferred to the ICU. Thrombolysis compared with heparin for the initial treatment of pulmonary embolism: Print Send to a friend Export reference Mendeley Statistics.

However, this is not always immediately available, and in recent years percutaneous techniques have been used in an increasing number of patients. The evidence on catheter-based interventions is limited to case reports, retrospective analyses of small series and systematic reviews; obstrtuivo have been no randomized clinical trials comparing percutaneous treatment with systemic thrombolysis.

The patient remained under ventilatory and inotropic support for 10 days, followed by a favorable clinical course and complete neurological recovery. In view of the patient’s shock and absolute contraindication for intravenous obxtrutivo, it was decided to perform RT and an cohque vena cava filter was placed. Management of cardiogenic shock compli. Inotropic and ventilatory support were withdrawn after four days, low molecular weight heparin was begun on the fifth day, and craniotomy and removal of the AVM were performed two months later.

Catheter Cardiovasc Interv, 73pp. The catheter was activated proximally to distally, with one or two complete passes.