Endocarditis with the Indwelling Balloon-tipped Pulmonary Artery Catheter in Burn Patients

Ehrie, M; Ap, Morgan; Fd, Moore; Ne, O'Connor

doi:10.1097/00005373-197809000-00008

Cited by 55 publications

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“…Because most of the burn patients are young and would typically have a lower prevalence of cardiac or valvular abnormalities, it has been proposed that indwelling venous catheters may damage the endocardium and predispose these patients to the formation of valvular vegetations. [156] Endocarditic valve infection is rare in burn patient and more often involves valves on the left side of the heart. [7]…”

Section: Discussionmentioning

confidence: 99%

Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related infection

Kale

Jagannathan

2013

Indian J Anaesth

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A central venous catheter (CVC) is inserted for measurement of haemodynamic variables, delivery of nutritional supplements and drugs and access for haemodialysis and haemofiltration. Catheterization and maintenance are common practices and there is more to the technique than routine placement as evident when a procedure-related complication occurs. More than 15% of the patients who receive CVC placement have some complications and infectious endocarditis involving the tricuspid valve is a rare and serious complication with high morbidity and mortality. Overenthusiastic and deep insertion of the guide wire and forceful injection through the CVC may lead to injury of the tricuspid valve and predispose to bacterial deposition and endocarditis. We report a case of tricuspid valve endocarditis, probably secondary to injury of the anterior tricuspid leaflet by the guide wire or the CVC that required open heart surgery with vegetectomy and repair of the tricuspid valve.

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Section: Discussionmentioning

confidence: 99%

Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related infection

Kale

Jagannathan

2013

Indian J Anaesth

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“…If access sites through unburned tissue are scarce, CVC access through burned tissue should be used first because of the inevitable secondary bum-wound colonization: these sites may cause additional infectious problems if they have to be used subsequently. With increased skill and experience, newer materials, and better care, reports of serious infectious or embolic complications are not frequent [23,66]. Indications for arterial catheters should be liberal, utilizing the usual sites based on the skill of the operator as well as the patient's situation [12].…”

Section: Induction and Maintenancementioning

confidence: 99%

Anesthesia and pain management in pediatric burn patients

Beushausen

M�cke

1997

Pediatric Surgery International

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Patients with severe burn injury are a challenge for the pediatric anesthesiologist. Today with adequate care many children survive their trauma and have a good chance for complete functional and psychological rehabilitation. The anesthesiologist has to provide excellent care even for patients in suboptimal or unstable condition to enable wound debridement and grafting, because only rapid skin closure will stabilize the patient. Adequate pain treatment during all phases of burn treatment is mandatory.

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“…13 These noninfective vegetations may be seen in patients with: 1) LibmanSacks endocarditis in cases of systemic lupus erythematosus; 2) acute rheumatic fever; 3) hypercoagulable states, antiphospholipid and lupus anticoagulant syndrome; 4) prolonged central venous catheters (right heart endocardial or tricuspid valve noninfectious vegetative lesions); or 5) burns and malignancies. [11][12][13][14] Fibroelastoma is a benign tumor that gives the appearance of a vegetation on the valvular surface. 15 Rarely, cases of valvular myxomas have also been described.…”

Section: Diagnostic Criteria and General Featuresmentioning

confidence: 99%

The Role of Echocardiography in Infective Endocarditis

Kinch

Bansal

1992

Journal of Diagnostic Medical Sonography

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Infective endocarditis continues to be a significant diagnostic and therapeutic problem. During the last two decades, transthoracic echocardiography, and more recently, transesophageal echocardiography have been used in patients with the clinical syndrome of endocarditis to detect vegetations and assess the extent of valvular damage. Certain echocardiographic findings have important prognostic implications and can help determine the timing of surgical intervention. This paper will review the role of echocardiography in the evaluation and management of patients with infective endocarditis.

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Endocarditis with the Indwelling Balloon-tipped Pulmonary Artery Catheter in Burn Patients

Cited by 55 publications

References 0 publications

Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related infection

Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related infection

Anesthesia and pain management in pediatric burn patients

The Role of Echocardiography in Infective Endocarditis

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