Document Detail


Pulmonary embolism confirmed by transoesophageal echocardiography.
MedLine Citation:
PMID:  1536398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 60-year-old patient suffered a pulmonary embolism following the application of an Esmarch and pneumatic tourniquet before arthroscopy of the knee. The diagnosis was suspected because of sudden hypotension, ECG changes, a decrease in end-expiratory carbon dioxide concentration and oxygen desaturation as indicated by pulse oximetry. Before performing a sternotomy and cardiopulmonary bypass for removal of pulmonary artery clots, the diagnosis was confirmed by the demonstration of severe right ventricular strain using transoesophageal echocardiography.
Authors:
L Sermeus; J Van Hemelrijck; J Vandommele; H Van Aken
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  47     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-03-26     Completed Date:  1992-03-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  28-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia, University Hospitals Katholieke Universiteit Leuven, U.Z. Gasthuisberg, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Arthroscopy
Echocardiography*
Humans
Intraoperative Complications / ultrasonography
Knee Injuries / complications
Male
Middle Aged
Pulmonary Embolism / etiology,  ultrasonography*
Tourniquets / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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