• Acta Anaesthesiol Belg · Jan 2005

    Case Reports

    Case report. Successful use of tenecteplase in massive pulmonary embolism with cardiopulmonary resuscitation immediately following tracheostomy.

    • W Abdulla and U Netter.
    • Department of Anaesthesiology and Intensive Care Medicine, Klinikum Bernburg. walied.abdulla@t-online.de
    • Acta Anaesthesiol Belg. 2005 Jan 1;56(2):179-82.

    AbstractThe use of thrombolytics for the treatment of massive pulmonary embolism with cardiopulmonary resuscitation is being controversially discussed. This is one of the first reports on the successful use of tenecteplase in a 59-year-old man who survived a massive pulmonary embolism after tracheostomy followed by a 30-minute cardiopulmonary resuscitation without cerebral damage. In such a dramatic clinical event, the immediate and simple use of this modern thrombolytic appears to be a justifiable last-resort treatment option until controlled studies in sufficiently sized patient populations will have proven or refuted its efficacy and safety.

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