Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture

A 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable exc...

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Main Authors: Tobechi E. Okoronkwo, XueWei Zhang, Jessica Dworet, Matthew Wecksell
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2018/7485789
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author Tobechi E. Okoronkwo
XueWei Zhang
Jessica Dworet
Matthew Wecksell
author_facet Tobechi E. Okoronkwo
XueWei Zhang
Jessica Dworet
Matthew Wecksell
author_sort Tobechi E. Okoronkwo
collection DOAJ
description A 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable except for oxygen saturation < 95 %. After induction of anesthesia and surgical positioning, the patient went into cardiac arrest. After intraoperative cardiopulmonary resuscitation (CPR) and placement on extracorporeal membrane oxygenation (ECMO), the patient stabilized. Cardiac catheterization revealed a large left pulmonary embolism. Here, we discuss the etiology and management of intraoperative pulmonary embolism.
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series Case Reports in Anesthesiology
spelling doaj-art-8877a547f47a4c42b1895ed9920aa51b2025-02-03T06:12:35ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/74857897485789Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular FractureTobechi E. Okoronkwo0XueWei Zhang1Jessica Dworet2Matthew Wecksell3New York Medical College-Westchester Medical Center, USANew York Medical College-Westchester Medical Center, USANew York Medical College-Westchester Medical Center, USANew York Medical College-Westchester Medical Center, USAA 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable except for oxygen saturation < 95 %. After induction of anesthesia and surgical positioning, the patient went into cardiac arrest. After intraoperative cardiopulmonary resuscitation (CPR) and placement on extracorporeal membrane oxygenation (ECMO), the patient stabilized. Cardiac catheterization revealed a large left pulmonary embolism. Here, we discuss the etiology and management of intraoperative pulmonary embolism.http://dx.doi.org/10.1155/2018/7485789
spellingShingle Tobechi E. Okoronkwo
XueWei Zhang
Jessica Dworet
Matthew Wecksell
Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
Case Reports in Anesthesiology
title Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
title_full Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
title_fullStr Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
title_full_unstemmed Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
title_short Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture
title_sort early detection and management of massive intraoperative pulmonary embolism in a patient undergoing repair of a traumatic acetabular fracture
url http://dx.doi.org/10.1155/2018/7485789
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