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Case Report
- Neurosurgery
- Cardiac Arrest from Patient Position Change after Spine Surgery on a Jackson Table
- Boohwi Hong, Seok Hwa Yoon, Soo-Yong Park, Seunghyun Song, Ann Youn, Ja Gyung Hwang
- Acute Crit Care. 2019;34(1):86-91. Published online February 20, 2017
- DOI: https://doi.org/10.4266/acc.2016.00794
- 15,108 View
- 229 Download
- 5 Web of Science
- 4 Crossref
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Abstract
PDF - The Jackson table has minimal effects on cardiac function because it does not elevate abdominal and thoracic pressures. In addition, it decreases venous congestion and increases exposure of the surgical field. However, the hips and knees are flexed with inappropriate padding, and venostasis is promoted and increased. Pulmonary thromboembolism (PTE) is fatal; thus immediate diagnosis and treatment are essential. However, clinical signs of intraoperative PTE are difficult to discern. Thrombolytic therapy can be considered as first-line therapy, but bleeding limits its use. The authors report a case of PTE resulting from patient positional change after spine surgery, and the use of immediate postoperative recombinant tissue-type plasminogen activator.
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Citations
Citations to this article as recorded by
- Causes of Perioperative Cardiac Arrest: Mnemonic, Classification, Monitoring, and Actions
Lingzhong Meng, Mads Rasmussen, Arnoley S. Abcejo, Deyi M. Meng, Chuanyao Tong, Hong Liu
Anesthesia & Analgesia.2023;[Epub] CrossRef - Perioperative patient positioning following scalp tumor surgery: an anesthetic challenge
Rajnish Kumar, Nishant Sahay, Shagufta Naaz, Ansarul Haq, Rajesh Kumar
Ain-Shams Journal of Anesthesiology.2022;[Epub] CrossRef - Differential diagnosis of intraoperative cardiac arrest after spine surgery in prone position
Davi Brasil Khouri, Marina Ayres Delgado, Jadson Lardy Lemes, Marcela Morais Afonso Cruz
Saudi Journal of Anaesthesia.2022; 16(4): 485. CrossRef - Pulmonary thromboembolism due to venostasis induced by sitting position during clavicle and pelvic bone fracture surgery
Soomin LEE, Boohwi HONG, Woosik HAN, Man-Shik SHIM, Yoon-Hee KIM, Seok-Hwa YOON
Chirurgia.2021;[Epub] CrossRef
- Causes of Perioperative Cardiac Arrest: Mnemonic, Classification, Monitoring, and Actions
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