Anesth Pain Med.  2010 Apr;5(2):166-168.

Increased intracranial pressure after massive blood loss: A case report

• Park JH
• Jun IG
• Son HJ
• Gwak M

Abstract

A 4-year old boy with supravalvular ascending aortic stenosis underwent sliding aortoplasty. After cardiopulmonary bypass weaning, aorta suture site was torn accidentally and the patient was in hypovolemic shock. Emergency cardiopulmonary bypass was reinstituted and the aorta was repaired. After removal of the aortic clamp, bradycardia and hypertension were noted. We suspected increased intracranial pressure due to hypoxic brain damage after massive blood loss and the patient was treated to lower the intracranial pressure. Physicians should be aware of the significance of the hemodynamic change associated with increased intracranial pressure to prevent further neurologic damage.

Keyword

Hypoxic brain damage; Intracranial pressure; Massive hemorrhage

MeSH Terms

Aorta
Aortic Valve Stenosis
Bradycardia
Cardiopulmonary Bypass
Emergencies
Hemodynamics
Humans
Hypertension
Hypoxia, Brain
Intracranial Pressure
Shock
Sutures
Weaning