https://scholars.lib.ntu.edu.tw/handle/123456789/191990
標題: | Massive Pulmonary Embolism after Application of an Esmarch Bandage | 作者: | LU, CHEN-WEI CHEN, YIH-SHARNG |
公開日期: | 2004 | 卷: | v.98 | 期: | n.4 | 起(迄)頁: | 1187-1189 | 來源出版物: | ANESTHESIA AND ANALGESIA | 摘要: | A 71-yr-old patient who underwent spinal anesthesia for left femoral fracture operation became hypotensive and unconscious after the application of an Esmarch bandage. The transesophageal echocardiography performed during resuscitation revealed pulmonary embolism and acute right ventricular failure. Pulmonary embolectomy with cardiopulmonary bypass was undertaken immediately after the echocardiographic diagnosis. Extracorporeal membrane oxygenation was used after the operation to support the failing right ventricle. The patient was successfully weaned from extracorporeal membrane oxygenation 10 days after the operation. We conclude that transesophageal echocardiography can be very useful in the immediate differential diagnosis of sudden cardiovascular collapse and that extracorporeal membrane oxygenation can be very helpful when acute right ventricular failure follows massive pulmonary embolism. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/91664 |
顯示於: | 醫學系 |
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