Key result
Emergency bypass system stabilizes a patient with severe intraoperative pulmonary thromboembolism, enabling full recovery.
Case Report (n=1)
No
An emergency bypass system can be successfully used as a life-saving intervention to stabilize a patient with severe intraoperative pulmonary thromboembolism.
May support emergency bypass as rescue therapy in refractory intraoperative pulmonary thromboembolism; hypothesis-generating case report requiring prospective validation.
A 56 year old female patient was transferred to the operating room for the repair of anterior cruciate ligament under general anesthesia.Initial vital sign was stable, but there was gradual decreases of the blood pressure and end-tidal CO2 after femur tourniquet application.We suspected the pulmonary thromboembolism, and started massive treatment of using ventilator with 100% O2, various invasive monitors and many vasopressors.Because the patient's vital sign was so unstable, we finally made a decision of using emergency bypass system (Capiox EBS ® , Terumo, Japan) by femoral artery and vein.After that, we transferred the patient to intensive care unit, and continued vigorous treatment.The patient was diagnosed as pulmonary thromboembolism by CT scan.We treated her with infusion of heparin and maintained ACT above 200 second.The 4th day at the intensive care unit, we removed the emergency bypass system.We transferred her to general ward without any complication after 12th day postoperatively.(Korean J Anesthesiol 2007; 53: 391～4)
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Jang et al. (2007) conducted a case report in Pulmonary thromboembolism (n=1). Emergency bypass system (Capiox EBS) was evaluated on Survival and clinical recovery. The application of an emergency bypass system successfully stabilized a patient with severe intraoperative pulmonary thromboembolism, leading to full clinical recovery.
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