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Hypotension post left internal jugular dialysis catheter insertion

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  • Ahmed Nabil
    Super Moderator

    • Sep 2020
    • 700

    #1

    quiz Hypotension post left internal jugular dialysis catheter insertion

    First one with correct answer with justification win.

    Upon emergence from general anesthesia after percutaneous placement of a left internal jugular dialysis catheter, a patient is noted to be hypotensive with a blood pressure of 70/50 and increased central venous pressure. Breath sounds are equal bilaterally but jugular veins are distended with muffled heart tones. The next best step in management of this patient with hypotension is

    A fluid resuscitation.

    B vasopressors.

    C pericardiocentesis.

    D echocardiography.

    E tube thoracostomy.
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  • Answer selected by Admin at 09-09-2023, 02:24 PM.
    Admin
    Administrator

    • Sep 2020
    • 6839

    Originally posted by Abusnaina mohammed
    C pericardiocentesis.
    correct

    This is a case of Cardiac tamponade secondary to cardiac perforation during insertion of dialysis catheter

    Comment

    • Abusnaina mohammed
      Senior Member
      • Oct 2020
      • 100

      #2
      C pericardiocentesis.

      Comment

      • Admin
        Administrator

        • Sep 2020
        • 6839

        #3
        Originally posted by Abusnaina mohammed
        C pericardiocentesis.
        correct

        This is a case of Cardiac tamponade secondary to cardiac perforation during insertion of dialysis catheter
        Want to support Pediatric Surgery Club and get Donor status?

        click here!

        Comment

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