Intraoperative cardiopulmonary collapse despite prophylactic anticoagulation for thromboembolism

Ju Deok Kim; Chiachi Cheng; Dong Jin Shim; Doo Sik Kim; Sie Jeong Ryu; Yusom Shin

doi:10.30579/mbse.2018.1.2.61

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자료유형: 학술저널

저자정보: Ju Deok Kim (Department of Anesthesiology and Pain Medicine Kosin University College of Medicine Busan Korea) Chiachi Cheng (Department of Anesthesiology and Pain Medicine Kosin University College of Medicine Busan Korea) Dong Jin Shim (Department of Anesthesiology and Pain Medicine Kosin University College of Medicine Busan Korea) Doo Sik Kim (Department of Anesthesiology and Pain Medicine Kosin University College of Medicine Busan Korea) Sie Jeong Ryu (Department of Anesthesiology and Pain Medicine Kosin University College of Medicine Busan Korea) Yusom Shin (Department of Anesthesiology and Pain Medicine Kosin University College of Medicine Busan Korea)

저널정보: 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.1 No.2

발행연도: 2018.7

수록면: 61 - 64 (4page)

DOI: 10.30579/mbse.2018.1.2.61

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Prophylactic anticoagulation for high-risk patients of pulmonary embolism (PE) prevails as acute PE potentially leads to hemodynamic instability resulting in death. Notwithstanding the adequate thromboprophylaxis, rarely, we may face a patient’s critical condition with PE. We report here on the patient given intraoperative cardiopulmonary resuscitation that the cause was revealed to be PE despite subcutaneous anticoagulant until the day before scheduled secondary operation. The 72-year-old male patient had already undergone first emergency surgery for right tibia and patella fractures without any problems. Albeit effective, prophylaxis for thromboembolism cannot guarantee PE prevention. With this sobering fact in mind, additionally, early diagnosis and prompt management of PE, especially through interdepartmental coordination, should produce patients’ best outcomes.

#Anticoagulants #Resuscitation #Venous thrombosis #Pulmonary embolism

참고문헌 (18)

참고문헌 신청

Kim HJ / 2010 / Detection of pulmonary embolism in the postoperative orthopedic patient using spiral CT scans / HSS J 6:95~98

Kearon C / 2003 / Natural history of venous thromboembolism / Circulation 107(23 Suppl 1):1I22~I30

Merli GJ / 2006 / Pathophysiology of venous thrombosis, thrombophilia, and the diagnosis of deep vein thrombosis-pulmonary embolism in the elderly / Clin Geriatr Med 22:75~92

Kumar DR / 2010 / Virchow’s contribution to the understanding of thrombosis and cellular biology / Clin Med Res 8:168~172

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