Initiation of Cardiopulmonary Bypass in a High-Risk Patient Under Regional Anesthesia: A Case Report

Coby Tran, Marco Aguirre, Suzanne Dellaria, Alycia Wanat-Hawthorne

Research output: Contribution to journalArticle

Abstract

A 34-year-old man presented with a large right ventricular (RV) intracardiac mass obstructing RV inflow and outflow as well as a concomitant pericardial effusion displaying physiological signs of tamponade. The patient underwent awake femorofemoral cannulation for cardiopulmonary bypass (CPB) under regional anesthesia with initiation of CPB before induction of general anesthesia. This unconventional approach avoided hemodynamic perturbations in this high-risk patient. Regional anesthesia provided predictable analgesia compared to local infiltration for improved toleration of cannulation.

Original languageEnglish (US)
Pages (from-to)e01246
JournalA&A practice
Volume14
Issue number8
DOIs
StatePublished - Jun 1 2020

ASJC Scopus subject areas

  • Medicine(all)

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