This review highlights the importance of early diagnosis and management of perioperative pulmonary embolism, emphasizing the utility of transesophageal echocardiography in the operating room.
May heighten perioperative PE vigilance; leaves open optimal strategies pending prospective trials.
All perioperative patients are at increased risk of pulmonary thromboembolism (PTE). The most common findings of PTE in patients undergoing general anesthesia are hypotension, tachycardia, hypoxemia, and decreased end-tidal CO2 air. Computed tomographic scanning is the preferred definitive diagnostic study, but transesophageal echocardiography may be valuable in making a presumptive diagnosis in the operating room. Early diagnosis allows supportive therapy and anticoagulation.
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Dragana Unic‐Stojanovic (2016) studied this question.
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