Swetanka Das

Superior vena cava clamping during thoracic surgery: Implications for the anesthesiologist

Resection and reconstruction of the SVC is a challenging Intraoperative situation owing to the potential complications after clamping a patent vessel. Hemodynamic imbalance and neurological effects of SVC clamping can be life threatening. These complications can be prevented by careful intraoperative monitoring and management. Anaesthesiologist must be aware of different options to manage such challenging situations.

Inadequate venous drainage-transesophageal echocardiography as rescue

Malposition of venous cannula can cause inadequate venous drainage during cardiopulmonary bypass. It would be good clinical practice to use TEE to check the position of inferior venous cannula to avoid this problem at the earliest.

An Unexpected Right Neck Mass Appearing Before Central Venous Catheter Placement

A 65-YEAR-OLD MAN with 3-vessel coronary artery disease presented to the authors’ institution for coronary artery bypass graft surgery. After anesthetic induction and endotracheal intubation, the patient was placed in the reverse Trendelenburg position and his head was turned to the left for insertion of a central venous catheter through the right internal jugular vein. A large mass (approximately 5 3 cm) was noted in the patient’s right neck above the right clavicle (Figs 1 and 2; Video clips 1 and 2). The mass was pulsatile and easily compressed. What is the diagnosis?