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

Authors

Tobechi E. Okoronkwo, New York Medical College
XueWei Zhang, New York Medical College
Jessica Dworet, New York Medical College
Matthew Wecksell, New York Medical CollegeFollow

Journal Title

Case Reports in Anesthesiology

First Page

Art. ID.: 7485789

Last Page

5 pages

Document Type

Case Report

Publication Date

10-1-2018

Department

Anesthesiology

Abstract

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.

Recommended Citation

Okoronkwo, T., Zhang, X., Dworet, J., & Wecksell, M. (2018). Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture. Case Reports in Anesthesiology, 2018, Art. ID.: 7485789-5 pages. https://doi.org/10.1155/2018/7485789

Publisher's Statement

Originally published in Case Reports in Anesthesiology, 2018, Article ID 7485789. The original material can be found here.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.