Kosin Medical Journal (고신대학교 의과대학 학술지)

Kosin University College of Medicine (고신대학교 의과대학)
권호 표지
DOI QR코드

DOI QR Code

A case of rescuing a patient with acute cardiovascular instability from sudden and massive intraoperative pulmonary thromboembolism by extracorporeal membrane oxygenation

  • Kim, Won Jin (Department of Anesthesiology & pain medicine, Dongtan sacred heart hospital) ;
  • Kang, Jin Gu (Department of Anesthesiology & pain medicine, Dongtan sacred heart hospital)
  • Received : 2018.07.03
  • Accepted : 2018.09.10
  • Published : 2018.12.31
⟨ Previous Next ⟩

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.

Keywords

References

  1. Chen YS, Lin JW, Yu HY, Ko WJ, Jerng JS, Chang WT, et al. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest. an observational study and propensity analysis. Lancet 2008;372:554-61. https://doi.org/10.1016/S0140-6736(08)60958-7
  2. Geerts WH, Bergqvist D, Pineo GF, et al. American College of Chest Physicians. Prevention of venous thromboembolism. American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008;133(6 Suppl):381S-453S. https://doi.org/10.1378/chest.08-0656
  3. Chana-Rodriguez F, Mananes RP, Rojo-Manaute J, Haro JA, Vaquero-Martin J. Methods and Guidelines for Venous Thromboembolism Prevention in Polytrauma Patients with Pelvic and Acetabular Fractures. Open Orthop J 2015;9:313-20. https://doi.org/10.2174/1874325001509010313
  4. Conrad SA, Rycus PT. Extracorporeal membrane oxygenation for refractory cardiac arrest. Ann Card Anaesth 2017;20:S4-S10.
  5. ELSO guidelines. Extracorporeal life support organization, version 1.3, November 2013, ANN Arbor, USA; available at: https://www.elso.org/resources/guidelines.aspx
  6. Debaty G, Babaz V, Durand M, Gaide-Chevronnay L, Fournel E, Blancher M, et al. Prognostic factors for extracorporeal cardiopulmonary resuscitation recipients following out-of-hospital refractory cardiac arrest. A systematic review and metaanalysis. Resuscitation 2017;112:1-10. https://doi.org/10.1016/j.resuscitation.2016.12.011