Massive pulmonary embolism （PE）, an uncommon event in the perioperative period, is a major challenge to anesthesia management. Massive PE is often associated with an unexpected hemodynamic collapse and severe desatu...Massive pulmonary embolism （PE）, an uncommon event in the perioperative period, is a major challenge to anesthesia management. Massive PE is often associated with an unexpected hemodynamic collapse and severe desaturation without other characteristic changes. It is difficult to make a rapid diagnosis during the perioperative period, especially under general anesthesia. We present a rare case of massive PE diagnosed with transthoracic echocardiography （TTE） in the recovery period of general anesthesia.展开更多
Venous thromboembolism(VTE) is an illness that has a potentially life-threatening condition that affects a large percentage of the global population. VTE with pulmonary embolism(PE) is the third leading cause of death...Venous thromboembolism(VTE) is an illness that has a potentially life-threatening condition that affects a large percentage of the global population. VTE with pulmonary embolism(PE) is the third leading cause of death after myocardial infarction and stroke. In the first three months after an acute PE, there is an estimated 15% mortality among submassive PE, and 68% mortality in massive PE. Current guidelines suggest fibrinolytic therapy regarding the clinical severity, however some studies suggest a more aggressive treatment approach. This review will summarize the available endovascular treatments and the different techniques with its indications and outcomes.展开更多
文摘Massive pulmonary embolism （PE）, an uncommon event in the perioperative period, is a major challenge to anesthesia management. Massive PE is often associated with an unexpected hemodynamic collapse and severe desaturation without other characteristic changes. It is difficult to make a rapid diagnosis during the perioperative period, especially under general anesthesia. We present a rare case of massive PE diagnosed with transthoracic echocardiography （TTE） in the recovery period of general anesthesia.
文摘Venous thromboembolism(VTE) is an illness that has a potentially life-threatening condition that affects a large percentage of the global population. VTE with pulmonary embolism(PE) is the third leading cause of death after myocardial infarction and stroke. In the first three months after an acute PE, there is an estimated 15% mortality among submassive PE, and 68% mortality in massive PE. Current guidelines suggest fibrinolytic therapy regarding the clinical severity, however some studies suggest a more aggressive treatment approach. This review will summarize the available endovascular treatments and the different techniques with its indications and outcomes.
