Key result
Intraoperative TTE detects massive PE during neurosurgical collapse by visualizing a right pulmonary artery thrombus.
Case Report (n=1)
No
Intraoperative point-of-care ultrasound (POCUS) is a crucial tool for the rapid and accurate diagnosis of massive pulmonary embolism during unexplained hemodynamic collapse in the operating room.
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May support intraoperative TTE for PE in unexplained OR collapse; hypothesis-generating case report requiring prospective validation.
Hemodynamic collapse it is not rare in the operating room. A 78-year-old man undergoes a resection for a right temporal meningioma. Shortly after induction, the patient goes into shock and pulmonary embolism (PE) is suspected. Transthoracic echocardiography shows hyperechoic material in the right pulmonary artery that is compatible with a thrombus. The PE diagnosis is confirmed and the surgery is suspended. Once again, point-of-care ultrasound (POCUS) shows us that daily application is crucial in our anesthesiological practice. We must know the different thromboprophylaxis approaches that we can apply in perioperative patients with high risk of thrombovenous disease.
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Placenti et al. (2023) conducted a case report in Pulmonary embolism (n=1). Transthoracic echocardiography was evaluated. Intraoperative transthoracic echocardiography successfully diagnosed a massive pulmonary embolism by visualizing a thrombus in the right pulmonary artery during neurosurgical hemodynamic collapse.
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