What Anesthesiologists Need to Know About Mesenteric Traction Syndrome
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چکیده
After 3 years of training in anesthesiology I had never heard the words mesenteric traction syndrome (MTS). Unfortunately, the first time I was introduced to this term occurred while taking care of a patient when he suddenly became severely hemodynamically unstable. The case was a pancreaticoduodenectomy being performed on a 63 year old male with locally advanced pancreatic cancer. The patient had undergone two rounds of abraxane and gemcitabine chemotherapy prior to the surgery. His comorbidities included coronary artery disease with previous five vessel CABG and ascending aortic aneurysm repair 6 years ago, hypertension, hyperlipidemia, and bipolar disorder. He was a current pack per day smoker but denied any alcohol or drug use. His pertinent home medications included Xanax, aspirin which had been stopped 7 days prior, lithium, metoprolol, oxycontin, and oxycodone. He denied any previous anesthesia-related problems. A regadenoson stress test was performed 3 months prior to surgery; results were negative for ischemia and showed an ejection fraction of 74%. An EKG performed a week prior showed normal sinus rhythm with a first degree AV nodal block.
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تاریخ انتشار 2017