[Intensive care management of acute pulmonary thromboembolism].
Three patients with acute pulmonary thromboembolism, who had fallen into cardiopulmonary arrest or severe respiratory failure, were treated and saved in our intensive care unit. Two patients were resuscitated with percutaneous cardiopulmonary support device. Two patients underwent surgical embolectomy and we carefully applied positive pressure ventilation to prevent postoperative reperfusion pulmonary edema. Early diagnosis and treatment are essential for saving critically ill patients with acute pulmonary embolism. However, cardiopulmonary resuscitation is often difficult and unsuccessful. Therefore prophylaxis is strongly recommended especially in patients with known risk factors of venous thrombosis. Since reperfusion pulmonary edema is a serious complication after surgical pulmonary embolectomy, careful postoperative respiratory care is needed.
Hasei
Mari
M
Division of Anesthesia, Osaka Prefectural General Hospital, Osaka 558-8558.
Inamori
Noriko
N
Hitomi
Kazuaki
K
Tanigami
Hironobu
H
Hirata
Takahiko
T
Mori
Takahiko
T
D000208:Acute Disease; D000293:Adolescent; D000368:Aged; D002315:Cardiopulmonary Bypass; D016887:Cardiopulmonary Resuscitation; D003422:Critical Care; D004691:Endarterectomy; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D011654:Pulmonary Edema / Q000517:prevention & control; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000628:therapy*; D015427:Reperfusion Injury / Q000517:prevention & control