Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
A 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable exc...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Anesthesiology |
Online Access: | http://dx.doi.org/10.1155/2018/7485789 |
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author | Tobechi E. Okoronkwo XueWei Zhang Jessica Dworet Matthew Wecksell |
author_facet | Tobechi E. Okoronkwo XueWei Zhang Jessica Dworet Matthew Wecksell |
author_sort | Tobechi E. Okoronkwo |
collection | DOAJ |
description | A 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable except for oxygen saturation < 95 %. After induction of anesthesia and surgical positioning, the patient went into cardiac arrest. After intraoperative cardiopulmonary resuscitation (CPR) and placement on extracorporeal membrane oxygenation (ECMO), the patient stabilized. Cardiac catheterization revealed a large left pulmonary embolism. Here, we discuss the etiology and management of intraoperative pulmonary embolism. |
format | Article |
id | doaj-art-8877a547f47a4c42b1895ed9920aa51b |
institution | Kabale University |
issn | 2090-6382 2090-6390 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Anesthesiology |
spelling | doaj-art-8877a547f47a4c42b1895ed9920aa51b2025-02-03T06:12:35ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/74857897485789Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular FractureTobechi E. Okoronkwo0XueWei Zhang1Jessica Dworet2Matthew Wecksell3New York Medical College-Westchester Medical Center, USANew York Medical College-Westchester Medical Center, USANew York Medical College-Westchester Medical Center, USANew York Medical College-Westchester Medical Center, USAA 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable except for oxygen saturation < 95 %. After induction of anesthesia and surgical positioning, the patient went into cardiac arrest. After intraoperative cardiopulmonary resuscitation (CPR) and placement on extracorporeal membrane oxygenation (ECMO), the patient stabilized. Cardiac catheterization revealed a large left pulmonary embolism. Here, we discuss the etiology and management of intraoperative pulmonary embolism.http://dx.doi.org/10.1155/2018/7485789 |
spellingShingle | Tobechi E. Okoronkwo XueWei Zhang Jessica Dworet Matthew Wecksell Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture Case Reports in Anesthesiology |
title | Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture |
title_full | Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture |
title_fullStr | Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture |
title_full_unstemmed | Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture |
title_short | Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture |
title_sort | early detection and management of massive intraoperative pulmonary embolism in a patient undergoing repair of a traumatic acetabular fracture |
url | http://dx.doi.org/10.1155/2018/7485789 |
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