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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Detalles Bibliográficos
Autores principales: Okoronkwo, Tobechi E., Zhang, XueWei, Dworet, Jessica, Wecksell, Matthew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188772/
https://www.ncbi.nlm.nih.gov/pubmed/30364012
http://dx.doi.org/10.1155/2018/7485789
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author Okoronkwo, Tobechi E.
Zhang, XueWei
Dworet, Jessica
Wecksell, Matthew
author_facet Okoronkwo, Tobechi E.
Zhang, XueWei
Dworet, Jessica
Wecksell, Matthew
author_sort Okoronkwo, Tobechi E.
collection PubMed
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.
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spelling pubmed-61887722018-10-25 Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture Okoronkwo, Tobechi E. Zhang, XueWei Dworet, Jessica Wecksell, Matthew Case Rep Anesthesiol Case Report 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. Hindawi 2018-10-01 /pmc/articles/PMC6188772/ /pubmed/30364012 http://dx.doi.org/10.1155/2018/7485789 Text en Copyright © 2018 Tobechi E. Okoronkwo et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Okoronkwo, Tobechi E.
Zhang, XueWei
Dworet, Jessica
Wecksell, Matthew
Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188772/
https://www.ncbi.nlm.nih.gov/pubmed/30364012
http://dx.doi.org/10.1155/2018/7485789
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