Acceso usuarios
Cristina Bueno Fernández, Laura Belenguer Pola, Blanca Romero Iñiguez, Víctor Lou Arqued, Alejandro Gracia Roche, Paula Jarén Cubillo
La parada cardiaca intraoperatoria posee unas características especiales, ya que son diferentes sus causas y, además, dado que son presenciadas, se instauran medidas de soporte vital de manera inmediata. Se presenta el caso de un varón de 67 años que es sometido a una resección transuretral de vejiga por sangrado, y que a los 30 minutos de realizar una anestesia neuroaxial, se produce una hipotensión brusca y una PCR en asistolia. Se realiza una revisión del tema, con especial interés al diagnóstico diferencial, así como a los algoritmos de tratamiento.
Intraoperative cardiac arrest has specific characteristics since it has got multiple and different causes. Furthermore, since these causes are witnessed, life support measures are immediately needed and so carried out. Hence, the former case is reported. It is the case of a 67-year-old man who, during a transurethral resection of the bladder caused from bleeding, and after 30 minutes having been performing neuraxial anesthesia, suffers from a hypotension and a cardiac arrest in asystole. A review of the subject is carried out, with special interest in the differential diagnosis, as well as in the treatment algorithms.
