循環制御
Print ISSN : 0389-1844
症例
Anesthetic Case for Pulmonary Resection in a Hemodialysis Patient with Poor Cardiac Function Following Coronary Artery Bypass Grafting
Ryu OkutaniKoichi SuehiroNobuaki Kanemura
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2010 年 30 巻 3 号 p. 171-174

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The patient was a 51-year-old woman who received CABG at 49 years old, and developed poor left ventricular cardiac function(EF, 26%; %FS, 14% and diffuse hypokinesis) after the surgery. The patient was scheduled to undergo thoracoscopy-guided left upper lobe resection. Prior to anesthetic induction, a Flotrac/Vigilleo SystemTM for an arterial pressure line was placed. After starting differential lung ventilation, hypotension and low cardiac index were confirmed by the system, and dobutamine administration was initiated. After that, systolic pressure fluctuated at around 90mmHg, and surgery was completed without any intraoperative complications.

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© 2010 by Japan Society of Circulation Control in Medicine
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