The use of ultrasonography in the perioperative management

Authors

  • Soren Kudsk-Iversen Stanger Hospital
  • Roel Matos-Puig Stanger Hospital

Keywords:

focus assessed transthoracic echocardiography (FATE), paraverterbral block, penetrating thoracic injury, thoracotomy, ultrasound-guided regional anaesthesia

Abstract

We report on the anaesthetic and postoperative analgesic management of a patient presenting with a single penetrating thoracic injury, with radiological confirmation of a foreign object still present in the thorax. The patient underwent an emergency right posterolateral thoracotomy. We discuss the use of ultrasound for the insertion of a paravertebral catheter for perioperative analgesic management, and its efficacy in the emergency setting. Furthermore, we discuss the use of perioperative focus assessed transthoracic echocardiography, which had a positive impact on our management, although the case highlights the need for further large multi-centre trials.

Author Biographies

Soren Kudsk-Iversen, Stanger Hospital

BSc(Hons) MBChB Dip HIV Man(SA) DTM&H Core Anaesthetic Trainee North Central London Deanery UK

Roel Matos-Puig, Stanger Hospital

MD Specialist Anaesthesiology Head of Department Department of Anaesthetics Stanger Hospital KwaZulu-Natal

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Published

2015-01-15

Issue

Section

Case Studies