Abnormal echogenic findings detected by transesophageal echocardiography and cardiorespiratory impairment during total knee arthroplasty with tourniquet

Anesthesiology

Volumn 97, Issue 5, 2002, Pages 1123-1128

  Kato, Nobuya ^a,b   Nakanishi, Kazuhiro ^a   Yoshino, Shinichi ^a   Ogawa, Ryo ^a  

^a NIPPON MEDICAL SCHOOL   (Japan)

^b NIPPON MEDICAL SCHOOL CHIBA HOKUSOH HOSPITAL   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTERIAL OXYGEN TENSION; ARTICLE; BLOOD GAS ANALYSIS; BLOOD SAMPLING; CENTRAL VENOUS CATHETER; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC VALUE; DISEASE SEVERITY; FEMALE; FEMUR; HEART ATRIUM; HEMODYNAMIC MONITORING; HUMAN; INTRAOPERATIVE PERIOD; JUGULAR VEIN; LUNG EMBOLISM; MALE; OXYGEN TENSION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SURGICAL RISK; TOTAL KNEE REPLACEMENT; TOURNIQUET; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TREATMENT OUTCOME;

AGED; ARTHROPLASTY, REPLACEMENT, KNEE; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; INTRAOPERATIVE COMPLICATIONS; MALE; MIDDLE AGED; PULMONARY EMBOLISM; RESPIRATION; TOURNIQUETS;

EID: 0036840253     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200211000-00014     Document Type: Article

References (22)

1. Koessler MJ, Fabiani R, Hamer H, Pitto RP: The clinical relevance of embolic events detected by transesophageal echocardiography during cemented total hip arthroplasty: A randomized clinical trial. Anesth Analg 2001; 92:49-55
2. Christie J, Burnett R, Potts HR, Pell ACH: Echocardiograpby of transatrial embolism during cemented and uncemented hemiarthroplasty of the hip. J Bone Joint Surg Br 1994; 76-B:409-12
3. Fitzgerald R, Mason L, Kanumilli V, Kleinhomer K, Sakamoto A, Johnson C: Transient cardiac standstill associated with embolic phenomena diagnosed by intraoperative transesophageal echocardiograpy during cemented total hip arthroplasty. Anesth Analg 1994; 79:382-5
4. Ereth MH, Weber JG, Abel MD, Lennon RL, Lewallen DG, Ilstrup DM, Rehder K: Cemented versus noncemented total hip arthroplasty: Embolism, hemodynamics, and intrapulmonary shunting. Mayo Clin Proc 1992; 67:1066-74
5. Parmet JL, Horrow JC, Singer R, Berman AT, Rosenberg H: Echogenic emboli upon tourniquet release during total knee arthropasty: Pulmonary hemodynamic changes and embolic composition. Anesth Analg 1994; 79:940-5
6. McGrath BJ, Hsia J, Epstein B: Massive pulmonary embolism following tourniquet deflation. Anesthesiology 1991; 74:618-20
7. Berman AT, Parmet JL, Harding SP, Israelite CL, Chandrasekaran K, Horrow JC, Singer R, Rosenberg H: Emboli observed with use of transesophageal echocardiography immediately after tourniquet release during total knee arthroplasty with cement. J Bone Joint Surg Am 1998; 80-A:389-96
8. Parmet JL, Berman AT, Horrow JC, Harding S, Rosenberg H: Thromboembolism coincident with tourniquet deflation during total knee arthroplasty. Lancet 1993; 341:1057-8
9. Lafont ND, Kalonji MK, Barre J, Guillaume C, Boogaerts JG: Clinical features and echocardiography of embolism during cemented hip arthroplasty. Can J Anaesth 1997; 44:112-7
10. Parmet JL, Horrow JC, Berman AT, Miller F, Pharo G, Collins L: The incidence of large venous emboli during total knee arthroplasty without pneumatic tourniquet use. Anesth Analg 1998; 87:439-44
11. McIntyre KM, Sasahara AA: The hemodynamic response to pulmonary embolism in patients without prior cardiopulmonary disease. Am J Cardiol 1971; 28:288-94
12. Malik AB: Pulmonary microembolism. Physiol Rev 1983; 63:1114-207
13. Gurewich V, Cohen ML, Thomas DP: Humoral factors in massive pulmonary embolism: An experimental study. Am Heart J 1968; 76:784-94
14. American Academy of Orthopaedic Surgeons: Instructional Course Lectures. Edited by Basset FH 3rd. St. Louis, Mosby, 1988, pp 27-31
15. Tocantins LM, O'Neill JF: Infusion of blood and other fluids into the general circulation via the bone marrow. Surgry Gynecol Obstet 1941; 73:281-7
16. Harrison RG, Gossman HH: The fate of radiopaque media injected into the cancellous bone of the extremities. J Bone Joint Surg Br 1955; 37-B:150-6
17. David K, Daniel RR: Intraoperative cardiac arrest and mortality in hip surgery. Orthop Rev 1980; 9:51-6
18. Weissman BN, Sosman JL, Braunstein EM. Dadkhahipoor H, Kandarpa K, Thornhill TS, Lowell JD, Sledge CB: Intravenous methylmethacrylate after total hip replacement. J Bone Joint Surg Am 1984; 66-A:443-50
19. Pell ACH. Hughes D, Keating J, Christie J, Busuttil A, George R: Fulminating fat embolism syndrome caused by paradoxical embolism through a patent foramen ovale. N Engl J Med 1993; 329:926-9
20. Kazuyoshi H, Hiroshi H, Shizuko K, Toshihito T, Yutaka S, Hironori I, Akitomo M: The relationship between pneumatic tourniquet time and the amount of pulmonary emboli in patients undergoing knee arthroscopic surgeries. Anesth Analg 2001; 93:776-80
21. Rodgers A: Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: Pulmonary embolism prevention (PEP) trial. Lancet 2000; 355:1295-302
22. Brookenthal KR, Freedman KB, Lotke PA, Fitzgerald RH, Lonner JH: A meta-analysis of thromboembolic prophylaxis in total knee arthroplasty. J Arthroplasty 2001; 16:293-300