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Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review
BACKGROUND: The diagnosis and treatment of pulmonary embolism have multi-modal approach based on specificity, sensitivity, availability of the machine, and associated risks of imaging modalities. AIM: This review aimed to provide shreds of evidence that improve perioperative diagnosis and management...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142630/ https://www.ncbi.nlm.nih.gov/pubmed/35638051 http://dx.doi.org/10.1016/j.amsu.2022.103684 |
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author | Abate, Lamesgen Geta Bayable, Samuel Debas Fetene, Melaku Bantie |
author_facet | Abate, Lamesgen Geta Bayable, Samuel Debas Fetene, Melaku Bantie |
author_sort | Abate, Lamesgen Geta |
collection | PubMed |
description | BACKGROUND: The diagnosis and treatment of pulmonary embolism have multi-modal approach based on specificity, sensitivity, availability of the machine, and associated risks of imaging modalities. AIM: This review aimed to provide shreds of evidence that improve perioperative diagnosis and management of suspected pulmonary embolism. METHODS: The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline 2020. After a clear criteria has been established an electronic searching database was conducted using PubMed, Google Scholar, Cochrane library, and Cumulative Index of Nursing and Allied Health Literature (CINAHL), with Key search terms included:(‘pulmonary embolism’ AND′ anesthesia management ‘, ‘anticoagulation’ AND ‘pulmonary embolism’, ‘thrombolysis ‘AND ‘pulmonary embolism’, ‘surgery’ AND′ pulmonary embolism’), were used to draw the evidence. The quality of literatures were categorized based on WHO 2011 level of evidence and degree of recommendation, in addition, the study is registered with research registry unique identifying number (UIN) of reviewregistry1318.” and has high quality based on AMSTAR2 assessment criteria. RESULTS: A totally of 27 articles were included [guidelines (n = 3), Cochrane (=5), systemic reviews (n = 7), meta-analyses (=2), RCT (n = 4), cohort studies (n = 3), and cross-sectional study (n = 3) and illegible articles identified from searches of the electronic databases were imported into the ENDNOTE software version X7.1 and duplicates were removed. DISCUSSION: Currently divergent and contradictory approaches are implemented in diagnosis and management for patients suspected of pulmonary embolism. CONCLUSION: All perioperative patients, especially trauma victims, prostate or orthopedic surgery, malignancy, immobility, and obesity; smokers; and oral contraceptive users, antipsychotic medications are at increased risk of venous thromboembolism and need special caution during surgery and anesthesia. |
format | Online Article Text |
id | pubmed-9142630 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-91426302022-05-29 Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review Abate, Lamesgen Geta Bayable, Samuel Debas Fetene, Melaku Bantie Ann Med Surg (Lond) Systematic Review / Meta-analysis BACKGROUND: The diagnosis and treatment of pulmonary embolism have multi-modal approach based on specificity, sensitivity, availability of the machine, and associated risks of imaging modalities. AIM: This review aimed to provide shreds of evidence that improve perioperative diagnosis and management of suspected pulmonary embolism. METHODS: The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline 2020. After a clear criteria has been established an electronic searching database was conducted using PubMed, Google Scholar, Cochrane library, and Cumulative Index of Nursing and Allied Health Literature (CINAHL), with Key search terms included:(‘pulmonary embolism’ AND′ anesthesia management ‘, ‘anticoagulation’ AND ‘pulmonary embolism’, ‘thrombolysis ‘AND ‘pulmonary embolism’, ‘surgery’ AND′ pulmonary embolism’), were used to draw the evidence. The quality of literatures were categorized based on WHO 2011 level of evidence and degree of recommendation, in addition, the study is registered with research registry unique identifying number (UIN) of reviewregistry1318.” and has high quality based on AMSTAR2 assessment criteria. RESULTS: A totally of 27 articles were included [guidelines (n = 3), Cochrane (=5), systemic reviews (n = 7), meta-analyses (=2), RCT (n = 4), cohort studies (n = 3), and cross-sectional study (n = 3) and illegible articles identified from searches of the electronic databases were imported into the ENDNOTE software version X7.1 and duplicates were removed. DISCUSSION: Currently divergent and contradictory approaches are implemented in diagnosis and management for patients suspected of pulmonary embolism. CONCLUSION: All perioperative patients, especially trauma victims, prostate or orthopedic surgery, malignancy, immobility, and obesity; smokers; and oral contraceptive users, antipsychotic medications are at increased risk of venous thromboembolism and need special caution during surgery and anesthesia. Elsevier 2022-04-28 /pmc/articles/PMC9142630/ /pubmed/35638051 http://dx.doi.org/10.1016/j.amsu.2022.103684 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review / Meta-analysis Abate, Lamesgen Geta Bayable, Samuel Debas Fetene, Melaku Bantie Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review |
title | Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review |
title_full | Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review |
title_fullStr | Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review |
title_full_unstemmed | Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review |
title_short | Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review |
title_sort | evidence-based perioperative diagnosis and management of pulmonary embolism: a systematic review |
topic | Systematic Review / Meta-analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142630/ https://www.ncbi.nlm.nih.gov/pubmed/35638051 http://dx.doi.org/10.1016/j.amsu.2022.103684 |
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