JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by LEE, C. M. Articles by GROSSMAN, L. B. Search for Related Content PubMed PubMed Citation Articles by LEE, C. M. Articles by GROSSMAN, L. B.

Laceration of Left Pulmonary Artery During Mediastinoscopy

CHONG M. LEE, MD^*, and LARRY B. GROSSMAN, MD

*Associate Professor of Anesthesiology Department of Anesthesiology, The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, Pennsylvania 17033. Resident in Anesthesiology Department of Anesthesiology, The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, Pennsylvania 17033.

Abstract

During a mediastinoscopy on a 65-year-old man with a carcinoma of the lung, the left pulmonary artery was biopsied inadvertently. The patient became hypotensive due to a loss of 1500 ml of blood in less than 5 minutes. Rapid administration of plasma and whole blood and emergency thoracotomy to control bleeding were necessary. The authors suggest securing an IV route using a large-bore catheter and stress the need to be alert to the possibility of life-threatening hemorrhage occurring during mediastinoscopy.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999