A case of rescuing a patient with acute cardiovascular instability from sudden and massive intraoperative pulmonary thromboembolism by extracorporeal membrane oxygenation
10.7180/kmj.2018.33.3.477
- Author:
Won Jin KIM
1
;
Jin Gu KANG
Author Information
1. Department of Anesthesiology & pain medicine, Dongtan sacred heart hospital, Hwaseong, Korea. wj131@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Extracorporeal life support;
Extracorporeal membrane oxygenation;
Pulmonary thromboembolism
- MeSH:
Anesthesia;
Cardiopulmonary Resuscitation;
Extracorporeal Membrane Oxygenation;
Heart Arrest;
Humans;
Mortality;
Pelvic Bones;
Pulmonary Embolism;
Shock;
Shock, Cardiogenic
- From:Kosin Medical Journal
2018;33(3):477-482
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intraoperative pulmonary thromboembolism is a high mortality situation. Early mortality in patients with pulmonary thromboembolism varies from 2% in normotensive patients to 30% in patients with cardiogenic shock. The use of extracorporeal cardiopulmonary resuscitation can improve survival and neurologic outcomes of cardiac arrest. We report a case of intraoperative massive pulmonary thromboembolism with circulatory collapse and cardiac arrest during anesthesia for pelvic bone fracture surgery, which were rescued by extracorporeal membrane oxygenation.
