• A&A practice · Dec 2021

    Case Reports

    Successful Resuscitation Following Intraoperative Acute Pulmonary Embolism With a Focus on Control of Bleeding After Thrombolytic Therapy: A Case Report.

    • Yasuyuki Suzuki, Fumito Kadoya, Tomoaki Nishikawa, Hideyuki Saeki, Kenji Takubo, and Katsuko Nishida.
    • From the Department of Anesthesiology, Saiseikai Matsuyama Hospital, Matsuyama, Japan.
    • A A Pract. 2021 Dec 22; 15 (12): e01549.

    AbstractAcute pulmonary embolism is a serious perioperative complication. Current guidelines focus on hemodynamic stabilization and rapid restoration of pulmonary artery blood flow. However, various complications, most notably bleeding, are associated with treatment of the embolism. We report a case of acute pulmonary embolism with cardiopulmonary arrest during orthopedic surgery. Prompt thrombolysis and gaining control of both thrombolytic therapy-induced bleeding from the wound and a hepatic cyst enabled the patient to recover without neurological deficits.Copyright © 2021 International Anesthesia Research Society.

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