Tamponade as a rare complication of CPAP use following cardiac surgery.
A 64-year-old woman developed tamponade more than 48 hours following cardiac surgery. The cause for this was haemorrhage from the site of multiple attempted cannulations of the right internal jugular vein. However this was a secondary haemorrhage and appeared to be precipitated by the use of CPAP on the second postoperative day. CPAP should be used with caution following difficult neckline insertions.
John
L C H
LC
Department of Cardiothoracic Surgery and Anaesthesia, Kings College Hospital, London, United Kingdom.
Kimberley
A P S
AP
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D045422:Continuous Positive Airway Pressure / Q000009:adverse effects*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D011182:Postoperative Care; D012086:Reoperation; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000628:therapy; D018570:Risk Assessment; D012720:Severity of Illness Index