Key result
General anesthesia using etomidate and vecuronium allowed for successful and hemodynamically stable management of a patient with pre-existing pulmonary thromboembolism and pulmonary artery hypertension undergoing bipolar hemiarthroplasty.
Why the study?
Lower limb long bone fractures carry vulnerability for venous thromboembolism leading to pulmonary thromboembolism.
Case Report (n=1)
No
General anesthesia can be successfully used for bipolar hemiarthroplasty in hemodynamically stable patients with preexisting pulmonary thromboembolism and pulmonary artery hypertension.
May support general anesthesia in selected stable patients with pulmonary thromboembolism; hypothesis-generating and should not change practice.
Lower limb long bone fractures are vulnerable for venous thromboembolism leading to pulmonary thromboembolism. Here, we present a case of preexisting pulmonary thromboembolism with pulmonary artery hypertension posted for bipolar hemiarthroplasty.In hemodynamically stable patients it is better to operate the underlying fracture early to avoid recurrence and worsening of pulmonary thromboembolism. This case was successfully managed under general anesthesia.
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Bhojane et al. (2021) conducted a case report in Pulmonary thromboembolism with pulmonary artery hypertension (n=1). General anesthesia was evaluated on Hemodynamic stability and successful surgical completion. General anesthesia using etomidate and vecuronium allowed for successful and hemodynamically stable management of a patient with pre-existing pulmonary thromboembolism and pulmonary artery hypertension undergoing bipolar hemiarthroplasty.
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