Increased intracranial pressure after massive blood loss: A case report

Park, Ji Hyun; Jun, In Gu; Son, Hyo Jung; Gwak, Mijeung

Case Report

Pediatric Anesthesia

Anesthesia and Pain Medicine 2010;5(2):166-168.
Published online April 30, 2010.

Increased intracranial pressure after massive blood loss: A case report

Ji Hyun Park, In Gu Jun, Hyo Jung Son, Mijeung Gwak

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mjgwak@amc.seoul.kr

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.

Key Words: Hypoxic brain damage, Intracranial pressure, Massive hemorrhage