Open AccessIntra‐aortic balloon pumping in the prone position during prolonged spinal surgery
Author(s) -
Schmidlin Daniel,
Franzen Olaf,
Schmid Urs Dieter,
Leonardi Massimo,
Gaspert Tomislav,
Berdat Pascal André
Publication year - 2016
Publication title -
anaesthesia cases
Language(s) - English
Resource type - Journals
ISSN - 2396-8397
DOI - 10.21466/ac.ibpitpp.2016
Subject(s) - medicine , balloon , mitral regurgitation , surgery , bradycardia , cardiology , intra aortic balloon pump , prone position , cardiac output , anesthesia , hemodynamics , intra aortic balloon pumping , blood pressure , heart rate , cardiogenic shock , myocardial infarction
Summary We present the case of a 69‐year‐old male with cardiac amyloidosis who had bradycardia, mitral valve regurgitation and coronary artery disease. He presented with disabling lumbo‐sacral pain and neurogenic claudication. The patient was scheduled for extensive decompression ‐ correction surgery of the thoraco‐lumbo‐sacral spine with an estimated surgical time of up to 6 hours. In order to prevent haemodynamic failure during prone positioning, pre‐operatively the patient recieved sequential cardiac pacing via a pulmonary artery catheter and an intra‐aortic balloon pump. Despite a low cardiac output throughout the entire operation, he experienced no arrhythmias and remained haemodynamically stable. His trachea was extubated 5 hours after the operation and he was discharged from ICU after 38 hours. Six days later he left hospital clinically stable and not in pain. The use of an intra‐aortic balloon pump in the prone position was uncomplicated.