Acute pulmonary embolism during an endoscopic retrograde cholangiopancreatography.
Ann Card Anaesth
; 2014 Apr; 17(2): 145-147
Article
ي En
| IMSEAR
| ID: sea-150315
A 76‑year‑old female patient presented for an endoscopic retrograde cholangiopancreatography (ERCP) for the removal of a biliary stent and lithotripsy. During the procedure, an acute drop in the end‑tidal CO2, followed by cardiovascular collapse prompted the initiation of the advanced cardiac life support protocol. Transesophageal echocardiography (TEE) demonstrated direct evidence of pulmonary embolism. The patient was promptly treated with thrombolytic therapy and subsequently discharged home on oral warfarin therapy, with no noted sequelae. Although, there have been case reports of air embolism during an ERCP presenting with cardiovascular collapse, to the best of our knowledge, there are no reported cases of acute pulmonary embolus during this procedure. While the availability of TEE in the operating suites is quite common, quick access and interpretation capabilities in remote locations may not be as common. With the expansion of anesthesia services outside of the operating rooms, it may be prudent to develop rapid response systems that incorporate resources such as TEE and trained personnel to deal with such emergent situations.
Key words
النص الكامل:
1
الفهرس:
IMSEAR
الموضوع الرئيسي:
Pulmonary Embolism
/
Aged
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Female
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Humans
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Cholangiopancreatography, Endoscopic Retrograde
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Echocardiography, Transesophageal
نوع الدراسة:
Guideline
اللغة:
En
مجلة:
Ann Card Anaesth
السنة:
2014
نوع:
Article