[Perioperative management of life-threatening intra-abdominal bleeding with intra-aortic balloon occlusion catheter].
Intra-thoracic aortic clamping using an intra-aortic balloon occlusion catheter (IABOC) is employed for patients with life-threatening intra-abdominal and/or extra-abdominal bleeding in spite of massive transfusion. For perioperative management, we inserted an IABOC preoperatively into a 59-year-old man with life-threatening intra-abdominal bleeding from an abscess formed around his traumatically injured pancreas. We could perform a safe operation in which bleeding was controlled by intermittently occluding the IABOC and the patient was thus prevented from developing into severe hemorrhagic shock. We experienced a usefulness of IABOC for a patient with life-threatening intra-abdominal bleeding uncontrolled due to intra-abdominal adhesion during the perioperative period. However, organ dysfunctions caused by ischemia and reperfusion following intra-aortic balloon occlusion must be prevented by shortening the occlusion time through use of an intermittent method such as described above.
Tsutsumi
N
N
Department of Anesthesiology, Sapporo Medical University, School of Medicine, Sapporo 060-8543.
Masuda
Y
Y
Imaizumi
H
H
Chaki
R
R
Nakamura
M
M
Kazama
K
K
Satoh
M
M
Namiki
A
A
D000768:Anesthesia, General; D002404:Catheterization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery; D019990:Perioperative Care; D010532:Peritoneal Diseases / Q000628:therapy*; D019106:Postoperative Hemorrhage / Q000628:therapy*