Acute Intraoperative Pulmonary Embolism Management in the Era of Pulmonary Embolism Response Teams and Minimally Invasive Therapy: A Case Report.

IF 1.1 Q3 ANESTHESIOLOGY
Kelsei P Keene, Pete P Fong, John M Trahanas, Bantayehu Sileshi
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引用次数: 0

Abstract

Intraoperative acute pulmonary embolism (PE) is a rare and life-threatening event with symptoms such as pleuritic chest pain, shortness of breath, and anxiety, which are easily masked by general anesthesia. To diagnose PE in a patient under general anesthesia, anesthesiologists must rely on alternative data points such as hypoxia, decreased end-tidal carbon dioxide (ETCO2), tachycardia, electrocardiogram changes, and intraoperative echocardiography. We present a case of acute intraoperative massive PE in a patient undergoing posterior spinal fusion. We discuss the management of acute perioperative PE, focusing on surgical risk, bleeding potential with thrombolytic therapies and anticoagulation, recent advances in catheter-based therapies, and the role of Pulmonary Embolism Response Teams (PERTs) in the assessment and perioperative management of high-risk patients.

肺栓塞反应小组和微创治疗时代的急性术中肺栓塞处理:一例报告。
术中急性肺栓塞(PE)是一种罕见且危及生命的事件,其症状包括胸膜炎性胸痛、呼吸急促和焦虑,这些症状很容易被全身麻醉掩盖。为了诊断全麻患者的PE,麻醉医师必须依靠其他数据点,如缺氧、潮末二氧化碳(ETCO2)降低、心动过速、心电图变化和术中超声心动图。我们报告一例急性术中大面积PE患者接受后路脊柱融合术。我们讨论了急性PE围手术期的处理,重点是手术风险,溶栓治疗和抗凝治疗的出血可能性,导管治疗的最新进展,以及肺栓塞反应小组(PERTs)在高危患者的评估和围手术期管理中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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