Continuous Cardiac Output Monitoring for Hemodynamic Management of a Case of Ruptured Cerebral Artery Aneurysm with Aortic Stenosis
Keywords:
Aortic stenosis, cardiac output, cerebral aneurysm, intraoperative monitoring, perioperativeAbstract
The perioperative management of a patient diagnosed with ruptured cerebral aneurysm and aortic stenosis (AS) is a challenging task for the anesthesiologist. Continuous cardiac output (CO) monitoring devices such as the FloTracâ„¢/Vigileoâ„¢ system is a reliable measure to avoid and minimize the adverse complications of hemodynamic instability, thus favoring the outcome.Downloads
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Ford MK, Beattie WS, Wijeysundera DN. Systematic review: Prediction of perioperative cardiac complications and mortality by the revised cardiac risk index. Ann Intern Med 2010;152:26‑35.
Vivancos J, Gilo F, Frutos R, Maestre J, Garcia‑Pastor A, Quintana F, et al. Clinical management guidelines for subarachnoid haemorrhage.Diagnosis and treatment. Neurologia 2014;29:353‑70.
Samarendra P, Mangione MP. Aortic stenosis and perioperative risk with noncardiac surgery. J Am Coll Cardiol 2015;65:295‑302.
De Rubens Figueroa J, Marhx A, Lopez Terrazas J, Palacios Macedo A.Supravalvular aortic stenosis associated to infectious endocarditis and cerebral vascular disease in a patient with Williams‑Beuren Syndrome.2015;85:292‑5.
Ozgur BM, Khoo LT, Levy ML. Intracerebral Aneurysms.In: Albright AL, Adelson PD, Pollack IF, editors. Principles and Practice of Pediatric Neurosurgery. 2nd ed. New York: Thieme; 2008. p. 960‑82.
Sharma R, Mehta Y, Sapra H. Severe aortic stenosis and subarachnoid hemorrhage: Anesthetic management of lethal combination.J Anaesthesiol Clin Pharmacol 2013;29:255‑7.
Otto CM, Nishimura RA. New ACC/AHA valve guidelines: Aligning definitions of aortic stenosis severity with treatment recommendations.Heart 2014;100:902‑4.
Frogel J, Galusca D. Anesthetic considerations for patients with advanced valvular heart disease undergoing noncardiac surgery.Anesthesiol Clin 2010;28:67‑85.
Michard F, Biais M. Rational fluid management: Dissecting facts from fiction. Br J Anaesth 2012;108:369‑71.
Mayer J, Boldt J, Mengistu AM, Rohm KD, Suttner S. Goal‑directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high‑risk surgical patients: A randomized, controlled trial. Crit Care 2010;14:R18.