EARLY DETECTION AND MANAGEMENT OF INTRA-OPERATIVE PULMONARY EMBOLISM IN A PATIENT UNDERGOING REVISION TOTAL HIP REPLACEMENT(THR)

Dr. BR. Bageerathi, Dr.V.S. Senthil Kumar, Dr.R. Purushotham

Abstract


Preoperative pulmonary emboli in traumatic patients are common. The incidence of thromboemboli events in trauma patients is about 63%. Timely diagnosis and treatment can improve patient’s survival. Pulmonary embolism can be difficult to detect prior to hemodynamic instability. Massive pulmonary embolism manifest as physiologic instability,hypoxemia,unresponsive to conventional therapy,cardiac arrest. Treatment includes emergent pulmonary embolectomy,thrombolysis ,extra corporal  membrane oxygenation  (ECMO). Here I present a case report of intra operative pulmonary embolism and the anaesthetic goal is to evaluate the available modality for early detection and supportive care after hemodynamic collapse.


Keywords


Pulmonary Embolism, Extracorporeal Membrane Oxygenation, Total Hip Replacement.

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References


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