Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography. (4th March 2018)

• Record Type: Journal Article
• Authors: Dudaryk, Roman; Benitez Lopez, Julio; Louro, Jack
• Other Names: Lee Ilok Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2018(2018)
• Publication Date: 2018-03-04
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2018/8709026
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary management of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography. Key aspects regarding the classification and treatment of pulmonary embolism are subsequently reviewed.