title: [Perioperative management of life-threatening intra-abdominal bleeding with intra-aortic balloon occlusion catheter].
abstract: 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.
authors.affiliation: Department of Anesthesiology, Sapporo Medical University, School of Medicine, Sapporo 060-8543.
authors.forename: N
authors.initials: N
authors.lastname: Tsutsumi
authors.forename: Y
authors.initials: Y
authors.lastname: Masuda
authors.forename: H
authors.initials: H
authors.lastname: Imaizumi
authors.forename: R
authors.initials: R
authors.lastname: Chaki
authors.forename: M
authors.initials: M
authors.lastname: Nakamura
authors.forename: K
authors.initials: K
authors.lastname: Kazama
authors.forename: M
authors.initials: M
authors.lastname: Satoh
authors.forename: A
authors.initials: A
authors.lastname: Namiki
mesh_terms: 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*