Massive intraoperative pulmonary embolism: It may not be as bad as it looks

Anaesthesia and Intensive Care

Volumn 34, Issue 4, 2006, Pages 510-513

  Forrest, A Paul ^a   Sutton, B ^a  

^a ROYAL PRINCE ALFRED HOSPITAL   (Australia)

Author keywords

Fat; Intraoperative; Pulmonary embolism; Thrombus; Transoesophageal echocardiography

Indexed keywords

ADRENALIN; ATROPINE; FENTANYL; MORPHINE; NITROUS OXIDE; OXYCODONE; PARACETAMOL; ROCURONIUM; SEVOFLURANE; THIOPENTAL; VASOPRESSIN;

AGED; ANESTHESIA INDUCTION; ARTICLE; ASYSTOLE; BRADYCARDIA; CASE REPORT; CLINICAL FEATURE; DISEASE COURSE; EMBOLECTOMY; END TIDAL CARBON DIOXIDE TENSION; FEMALE; FEMORAL NERVE; FEMUR FRACTURE; HEART ARREST; HEART RIGHT ATRIUM; HEART RIGHT VENTRICLE; HEART RIGHT VENTRICLE OUTFLOW TRACT; HUMAN; HYPOTENSION; INFERIOR CAVA VEIN; INTRAMEDULLARY NAILING; LUNG EMBOLISM; LYMPH NODE BIOPSY; LYMPH NODE METASTASIS; METASTASIS; NERVE BLOCK; PATHOLOGIC FRACTURE; PEROPERATIVE COMPLICATION; POSTOPERATIVE PAIN; PULMONARY ARTERY; RESUSCITATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 33746991825     PISSN: 0310057X     EISSN: None     Source Type: Journal    
DOI: 10.1177/0310057x0603400416     Document Type: Article

References (19)

1. Byrick R, Mullen J, Mazer D, Guest G. Transpulmonary, systemic fat embolism. Studies in mongrel dogs after cemented arthroplasty. Am J Resp Crit Care Med 1994; 150:1416-1422.
2. Pell A, Christie J, Keating J, Sutherland G. The detection of fat embolism by transoesophageal echocardiography during reamed intramedullary nailing. A study of 24 patients with femoral and tibial fractures. J Bone Joint Surg Br 1993; 75:921-925.
3. Coles R, Clements F, Lardenoye J et al. Transesophageal echocardiography in quantification of emboli during femoral nailing: reamed versus unreamed techniques. J South Orthop Assoc 2000; 9:98-104.
4. Peter R, Schopfer A, Le Coultre B, Hoffmeyer P. Fat embolism and death during prophylactic osteosynthesis of a metastatic femur using an unreamed femoral nail. J Orthop Trauma 1997; 11:233-234.
5. Oxorn D, Edelist G. Large pulmonary embolus without systemic hemodynamic consequences during cemented hip arthroplasty. J Clin Anesth 1998; 10:238-241.
6. Heine T, Halembeck B, Mark J. Fatal pulmonary fat embolism in the early postoperative period. Anesthesiology 1998; 89:1589-1591.
7. Bracco D, Favre J, Joris R, Ravussin A. Fatal fat embolism: a case report. J Neurosurg Anesthesiol 2000; 12:221-224.
8. Pruszczyk P, Torbicki A, Pacho R et al. Noninvasive diagnosis of suspected severe pulmonary embolism: transesophageal echocardiography versus spiral CT. Chest 1997; 112:722-728.
9. Goldhaber S. Echocardiography in the management of pulmonary embolism. Ann Intern Med 2002; 136:691-700.
10. Goldhaber S. Pulmonary embolism. Lancet 2004; 363:1295-1305.
11. Kirkland L. Fat embolism. From http://www.emedicine.com/med/topic652.htm Accessed February 2006.
12. Gurd A, Wilson R. The fat embolism syndrome. J Bone Joint Surg Br 1974; 56B:408-412.
13. ten Duis H, The fat embolism syndrome. Injury 1997; 28:77-85.
14. Stanley J, Hanson R, Hicklin G et al. Specificity of bronchoalveolar lavage for the diagnosis of fat embolism syndrome. Am Surg 1994; 60:537-541.
15. Mimoz O, Edouard A, Beydon L et al. Contribution of bronchoalveolar lavage to the diagnosis of posttraumatic pulmonary fat embolism. Intensive Care Med 1995; 21:973-980.
16. Leacche M, Unic D, Goldhaber S et al. Modern surgical treatment of massive pulmonary embolism: results in 47 consecutive patients after rapid diagnosis and aggressive surgical approach. J Thorac Cardiovasc Surg 2005; 129:1018-1123.
17. Whitby M, Hellings M. Massive intraoperative pulmonary thromboembolism treated by pulmonary embolectomy. Anaesth Intensive Care 1993; 21:342-343.
18. Pharo G, Andonakakis A, Chandrasekaren K, Amron G, Levitt J. Survival from catastrophic intraoperative pulmonary embolism. Anesth Analg 1995; 81:188-190.
19. Newkirk L, Vater Y, Oxorn D, Mulligan M, Conrad E. Intraoperative TEE for the management of pulmonary tumour embolism during chondroblastic osteosarcoma resection. Can J Anesth 2003; 50:886-890.