| Pulmonary embolism. Prophylaxis diagnosis and treatment. | |
| | |
MedLine Citation:
|
PMID: 970590 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The natural history diagnosis and immediate treatment of patients suffering from pulmonary embolism has been discussed. Anaesthetists should use their influence to bring about a high standard of prophylactic care against deep venous thrombosis and consequently of pulmonary embolism. They are likely to be involved in the resuscitation and treatment in intensive care units of those cases who suffer from major symptoms and massive emboli and some of them will rarely be involved in anaesthetising for pulmonary embolectomy aided by cardiopulmonary by-pass and, less rarely, for IVC ligation or plication and venous disobliteration. Anticoagulant drugs appear to limit the mortality of pulmonary embolism to 5%. The mortality of IVC ligation or plication varies in different reports from 2 to 50%; it should therefore be reserved for the special indications which have been discussed. There is also an incidence of recurrent pulmonary embolism after IVC ligation and plication and leg troubles from stasis in about 30% of cases. Streptokinase is usually indicated in the immediate treatment of major pulmonary emboli which cause shock and severe distress with an immediate threat to life. In hospitals having access to cardiopulmonary by-pass, pulmonary embolectomy has a small role to play in major emboli with cardiovascular collapse, if surgery can start within 2 hours and pulmonary angiography is available. Cardiopulmonary by-pass on its own may be life-saving in supporting the circulation while the clot fragments. If cardiac arrest occurs, external cardiac massage should be undertaken as it is sometimes successful and disseminates and fragments the clot in the pulmonary artery. |
| | |
Authors:
|
D G Price |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Anaesthesia Volume: 31 ISSN: 0003-2409 ISO Abbreviation: Anaesthesia Publication Date: 1976 Sep |
Date Detail:
|
Created Date: 1976-12-01 Completed Date: 1976-12-01 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 925-32 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiopulmonary Bypass Dextrans / therapeutic use Heparin / therapeutic use Humans Ligation Pulmonary Artery / radiography Pulmonary Embolism* / diagnosis, therapy Radionuclide Imaging Streptokinase / therapeutic use Thrombophlebitis / prevention & control Vena Cava, Inferior |
| Chemical | |
Reg. No./Substance:
|
9004-54-0/Dextrans; 9005-49-6/Heparin; EC 3.4.-/Streptokinase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The cardiovascular effects of ketamine in man.
Next Document: Preoperative digitalization. Measurement of digoxin plasma levels (author's transl)