The management of pulmonary embolism

被引：0

作者：

Banerjee, Tamara P. ^{[1
]}

Mora, Juan Carlos ^{[2
,3
]}

机构：

[1] Royal Free Hosp, Intens Care Med & Anaesthesia, London, England

[2] Alfred Hosp, Melbourne, Vic, Australia

[3] Wagga Wagga Base Hosp, Wagga Wagga, NSW, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE MEDICINE | 2020年 / 21卷 / 03期

关键词：

Anticoagulation; computed tomographic pulmonary angiography (CTPA); embolectomy; IVC filter; massive pulmonary embolism; pulmonary embolism; submassive pulmonary embolism; thrombolysis; venous thromboembolism (VTE); RISK;

D O I：

暂无

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Pulmonary embolism (PE) is a significant cause of hospitalization, morbidity and mortality, frequently requiring critical care services. Critically ill patients are also at increased risk of developing venous thromboembolism and acute PE. Critical care clinicians should be confident in their approach to the patient with suspected and diagnosed PE. Furthermore, the comorbid conditions in this patient group may present additional challenges both in diagnosis (e.g. safe access to radiology) and management (e.g. absolute and relative contraindications to anticoagulation/thrombolysis in critically ill patients). This brief review summarizes the contemporary evidence base regarding both diagnosis and treatment strategies and draws upon this to suggest a simple algorithm for investigation, risk stratification and management, particularly tailored to patients within a critical care setting.

引用

页码：139 / 146

页数：8

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