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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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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:
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
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author 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
author_facet 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
author_sort Heo, Min Hee
collection PubMed
description 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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spelling pubmed-104105442023-08-10 Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report - 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 Anesth Pain Med (Seoul) Cardiothoracic and Vascular Anesthesia 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. Korean Society of Anesthesiologists 2023-07-31 2023-07-14 /pmc/articles/PMC10410544/ /pubmed/37468206 http://dx.doi.org/10.17085/apm.23009 Text en Copyright © the Korean Society of Anesthesiologists, 2023 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Cardiothoracic and Vascular Anesthesia
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
Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -
title Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -
title_full Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -
title_fullStr Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -
title_full_unstemmed Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -
title_short Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report -
title_sort anesthetic management of an elderly covid-19 patient with pulmonary thromboembolism for hip surgery - a case report -
topic Cardiothoracic and Vascular Anesthesia
url 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
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