Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -

BACKGROUND: COVID-19 and delayed hip surgery are well-known risk factors for thromboembolism in elderly patients. CASE: We report the case of an 88-year-old female patient with COVID-19 and pulmonary thromboembolism (PTE) who underwent delayed hip surgery 21 days after the injury. Heparinization and...

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Detalles Bibliográficos
Autores principales: Heo, Min Hee, Choi, Hwan Yong, Kim, Ji Yeon, Kim, Kyung Woo, Lee, Sang Il, Kim, Kyung-Tae, Park, Jang Su, Choe, Won Joo, Kim, Jun Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2023
Materias:
Cardiothoracic and Vascular Anesthesia
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410544/
https://www.ncbi.nlm.nih.gov/pubmed/37468206
http://dx.doi.org/10.17085/apm.23009
Descripción
Sumario:BACKGROUND: COVID-19 and delayed hip surgery are well-known risk factors for thromboembolism in elderly patients. CASE: We report the case of an 88-year-old female patient with COVID-19 and pulmonary thromboembolism (PTE) who underwent delayed hip surgery 21 days after the injury. Heparinization and inferior vena cava filters were used to treat and prevent PTE. Transesophageal echocardiography and extracorporeal membrane oxygenation sheaths were inserted as a precaution in case of emergencies during surgery; the procedure was performed without any specific event. CONCLUSIONS: COVID-19-infected patients suffering from a hip fracture have a high risk of thromboembolism, and therefore, require utmost attention for appropriate evaluation and prevention.

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