Pulmonary Embolism Hepatoblastoma Resection [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-45336

Pulmonary Embolism Hepatoblastoma Resection

Alkin Colak1, umit nusret basaran2, Elif Copuroglu1, FATİH SAĞ1, ZAFER ÇAKICI1, Güven Kıray1
1Trakya University, Faculty Of Medicine, Department Of Anesthesiology And Reanimation, Edirne, Turkey
2Trakya University, Faculty Of Medicine, Department Of Pediatric Surgery, Edirne, Turkey

Although hepatoblastoma is rare, it is the most malignant tumor of childhood. Treatment is usually provided by surgical resection and chemotherapy. Mortality and morbidity decreased due to improvements in the treatments. In this process, hepatic resection have a risk of pulmonary embolism, and this condition could be fatal.
In this case, a 9-month-old patient who was treated with chemotherapy and then underwent hepatectomy was presented. We were used noninvasive methods such as the perfusion index (PI) and the plethysmographic variability index (PVI) (Massimo Radical 7) and non-invasive total hemoglobin measurement (SpHb) rather than invasive measurements. During closure of the surgical skin incision, the ETCO2 value was dropped. After arrhythmia and bradycardia resulted in cardiac arrest. Cardiopulmonary resuscitation (CPR) was initiated. But the patient was not respond to Cardiopulmonary resuscitation and was accepted as an exitus.
In order to reduce the risk of thrombosis in patients undergoing liver surgery may be applied heparin

Keywords: Hepatoblastoma, pulmonary embolism, heart arrest

Corresponding Author: Alkin Colak, Türkiye

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