Open AccessThe journey of harmless bullet: The perioperative care of penetrating cardiac injury
Author(s) -
Ahmad Abou-Leila,
Gennadiy Voronov
Publication year - 2017
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.194578
Subject(s) - medicine , perioperative , penetrating trauma , cardiopulmonary bypass , cardiopulmonary resuscitation , anesthesia , resuscitation , gunshot wound , medical emergency , surgery , blunt
Traumatic injuries to the heart contribute significantly to trauma are associated with high mortality. Cardiac gunshot wounds (GSW) are considered more lethal compared to other injuries and present several unique challenges to the anesthesia management and perioperative care. We are reporting a rare case of a trauma victim who survived a GSW to the heart. We will discuss the perioperative care of penetrating cardiac injuries, the role of the anesthesia team in resuscitation, safe anesthesia induction, cardiopulmonary bypass management, and the essential role of intraoperative transesophageal echocardiogram imaging.