Skip to main content
SpringerLink
Log in

Anaesthetic management of cardiac tamponade after open heart surgery

  • Original Communications
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The anaesthetic management of cardiac tamponade following open heart surgery in 82 patients has been reviewed. The overall incidence was 4.1 per cent in 2000 open heart cases. In individual disease groups, the highest incidence was found in patients with endomyocardial fibrosis (14.55% in 55 cases), followed by Ebstein's anomaly (11.11% in 18 cases) and tetralogy of Fallot (9.37% in 256 cases). The anaesthetic technique used was that of judicious administration of anaesthetic agents, volume expansion, correction of metabolic acidosis, inotropic infusion, and careful IPPV to avoid excessive inflation pressures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kaplan JA.Pericardial diseases. In: Cardiac Anaesthesia. New York: Grune & Stratton, 1979: 491–7.

    Google Scholar 

  2. Merril W, Danahoo JS, Brawley RK, Taycor D.Late cardiac tamponade: a potentially lethal complication after open heart surgery. J Thorac Cardiovasc Surg 1976;72: 929–32.

    Google Scholar 

  3. Hardesty RL, Thompson M, Lergerg DBet al.Delayed postoperative cardiac tamponade: diagnosis and management. Ann Thorac Surg 1978;26: 155–64.

    Article  PubMed  CAS  Google Scholar 

  4. Bentall HH, Smith B, Omeri MA, Melrose DG, Allworks S.Blood loss after cardiopulmonary bypass. Lancet 1964;2: 277–9.

    Article  PubMed  CAS  Google Scholar 

  5. Craddock DR.Reoperation for haemorrhage following cardiopulmonary bypass. Br J Surg 1968;55: 17–20.

    Article  PubMed  CAS  Google Scholar 

  6. Ebert PA.The Pericardium. In: Sabiston DC, Spencer FC eds. Gibbon's Surgery of the Chest, 4th ed. Philadelphia: WB Saunders, 1983: 995.

    Google Scholar 

  7. Murray BRP, Robertson DS.Anaesthesia for mitral valvotomy complicated by hypotension due to pericardial effusion. Br J Anaesth 1964;36: 256–8.

    Article  PubMed  CAS  Google Scholar 

  8. Guntheroth WG, Morgan BC, Mullin S.Effect of respiration on venous return and stroke volume in cardiac tamponade: mechanism of pulsus paradoxus. Circulation Res 1967;20: 381–90.

    PubMed  CAS  Google Scholar 

  9. Mattila I, Takkunen O, Mattila P.Cardiac tamponade and different modes of artificial ventilation. Acta Anaesthesiol Scand 1984;28: 236–40.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, 695 011, Trivandrum, India

    K Muralidhar (Lecturer), A Rout (Assistant Professor) & K Mohandas (Professor and Head of the Department)

Authors
  1. K Muralidhar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A Rout
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K Mohandas
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Muralidhar, K., Rout, A. & Mohandas, K. Anaesthetic management of cardiac tamponade after open heart surgery. Indian J Thorac Cardiovasc Surg 4, 19–22 (1985). https://doi.org/10.1007/BF02664079

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02664079

Key words

Search

Navigation