Surgicel Induced Intraoperative Cardiovascular Collapse in a Child with Midbrain Glioma - Case Reports in Clinical Medicine

CRCM > Vol.4 No.1, January 2015

Case Reports in Clinical Medicine

Volume 4, Issue 1 (January 2015)

ISSN Print: 2325-7075 ISSN Online: 2325-7083

Google-based Impact Factor: 0.2 Citations

Surgicel Induced Intraoperative Cardiovascular Collapse in a Child with Midbrain Glioma ()

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DOI: 10.4236/crcm.2015.41009 3,110 Downloads 3,788 Views Citations

Author(s)

Evgeni Brotfain^1*, Akiva Korn², Micky Gidon³, Alexander Zlotnik¹, Moti Klein¹, Israel Melamed³

Affiliation(s)

¹Department of Anesthesiology and Critical Care, General Intensive Care Unit, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel.
²Surgical Monitoring Service Ltd., Jerusalem, Israel.
³Department of Neurosurgery, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel.

ABSTRACT

Introduction: Intraoperative cardiovascular complications were previously demonstrated in relation to high sympathetic nervous system outflow or stimulation of the vagal nerve nucleus during theneurosurgical procedures on brain tumors. Main Symptoms and Important Clinical Findings: We are presenting clinical case of 13-year-old girl who suffered from midbrain glioma and developed life threatening cardiovascular events during neurosurgical procedure after surgicel hemostatic agent application. Therapeutic Interventions and Outcomes: Cardiovascular stability has been restored after immediate removal of surgicel from the operating field. We believe that it might be related to direct application of the surgicel hemostatic agent.

KEYWORDS

Thalamic Glioma, Pediatric Neurosurgery, Cardiovascular Collapse, Surgicel-Induced Hypotension, Extracellular Acidosis

Share and Cite:

Brotfain, E. , Korn, A. , Gidon, M. , Zlotnik, A. , Klein, M. and Melamed, I. (2015) Surgicel Induced Intraoperative Cardiovascular Collapse in a Child with Midbrain Glioma. Case Reports in Clinical Medicine, 4, 36-40. doi: 10.4236/crcm.2015.41009.

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