Anesthesia Management of Emergent Sternotomy for Acute Cardiac Tamponade in a Pediatric Hematopoietic Stem Cells Recipient

Authors

  • Sengottaian Sivakumar Clinical Fellow, Department of Pediatric Anesthesiology, SUNY at Buffalo, Newyork, USA. Author
  • Stacey Watt Program Director, Anesthesia Residency & Pediatric Anesthesia Fellowship, SUNY at Buffalo Author
  • Justin Eckler Clinical Instructor of Anesthesiology, SUNY at Buffalo Author

DOI:

https://doi.org/10.47363/JSAR/2020(1)110

Keywords:

Anesthesia Pediatric, Graft-Versus-Host Disease, Pericardiocentesis, Cardiac Tamponade, Intraoperative Cardiac Arrest

Abstract

Hematopoietic stem cell transplantation (HSCT) is the infusion of hematopoietic stem and progenitor cells to reconstitute the bone marrow. Due to the long-term consequences of HSCT, anesthetic management of these patients could be complicated. Here the authors describe the clinical features and management of a hemopoietic stem cell recipient with a systemic form of GVHD, who presented with cardiac tamponade due to right ventricular injury, after pericardiocentesis for a severe pericardial effusion, which led to bedside pericardial window and sternotomy with multiple cardiac arrests in the operating room

Author Biographies

  • Sengottaian Sivakumar, Clinical Fellow, Department of Pediatric Anesthesiology, SUNY at Buffalo, Newyork, USA.

    Sengottaian Sivakumar MD, Clinical Fellow, Department of Pediatric Anesthesiology, SUNY at Buffalo, Newyork, USA.

  • Stacey Watt, Program Director, Anesthesia Residency & Pediatric Anesthesia Fellowship, SUNY at Buffalo

    Stacey Watt, Program Director, Anesthesia Residency & Pediatric Anesthesia Fellowship, SUNY at Buffalo 

  • Justin Eckler, Clinical Instructor of Anesthesiology, SUNY at Buffalo

    Justin Eckler, Clinical Instructor of Anesthesiology, SUNY at Buffalo 

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Published

2020-10-20

Issue

Vol. 1 No. 2 (2020): Volume 1 Issue 2

Section

Articles