Non-programmed clamping of superior vena cava. The anesthesiologist's Achilles' heel.

@article{Vretzakis2006NonprogrammedCO,
  title={Non-programmed clamping of superior vena cava. The anesthesiologist's Achilles' heel.},
  author={George Vretzakis and Vassilios N Didilis and Christos C Dragoumanis and Dimitrios A. Mikroulis and Miltos K. Lazarides},
  journal={Acta anaesthesiologica Belgica},
  year={2006},
  volume={57 1},
  pages={59-62}
}
This case presentation focuses on the hemodynamic alterations due to acute clamping of superior vena cava (SVC) during a right pneumonectomy for lung cancer and on the alternatives for drug administration. In a 71-yr-old female patient without clinical manifestations of SVC syndrome, this large vein was clamped for 22 minutes for patch placement after sudden and unpredictable hemorrhage. The patient became acutely cyanotic and edematous in the face and upper extremities, arterial blood pressure… CONTINUE READING