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Pulmonary embolism confirmed by transoesophageal echocardiography
Author(s) -
SERMEUS L.,
HEMELRIJCK J.,
VANDOMMELE J.,
AKEN H.
Publication year - 1992
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1992.tb01948.x
Subject(s) - medicine , pulmonary embolism , pulse oximetry , cardiology , cardiopulmonary bypass , anesthesia , pulmonary artery
Summary A 60‐year‐old patient suffered a pulmonary embolism following the application of an Esmarch and pneumatic tourniquet before arthroscopy of the knee. The diagnosis was suspected because of sudden hypotension, ECG changes, a decrease in end‐expiratory carbon dioxide concentration and oxygen desaturation as indicated by pulse oximetry. Before performing a sternotomy and cardiopulmonary bypass for removal of pulmonary artery clots, the diagnosis was confirmed by the demonstration of severe right ventricular strain using transoesophageal echocardiography.