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Successful conservative management with positive end-expiratory pressure for massive haemothorax complicating
Chao-Han Lai1, Ju-Yi Chen, Hsuan-yin Wu
1Division of Cardiovascular Surgery, Department of Surgery, National Chen Kung University Hospital, Tainan, Taiwan.
Abstract:
Haemothorax resulting from injury to a great vessel is a potential complication during transvenous pacemaker implantation that can be caused by perforation by the electrode. If the amount of bleeding is massive, control needs thoracotomy. We report on a 70-year-old man who had a massive haemothorax following transvenous pacemaker implantation. This complication was controlled successfully by using positive end-expiratory pressure (PEEP). We conclude that this simple but reproducible experience may offer effective haemostasis for a massive haemothorax caused by transvenous catheter perforation.
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