Intraoperative cardiopulmonary collapse despite prophylactic anticoagulation for thromboembolism
Ju Deok Kim, Chiachi Cheng, Dong Jin Shim, Doo Sik Kim, Sie Jeong Ryu, Yusom Shin 
Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine, Busan, Korea
Correspondence to: Yusom Shin
Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, Korea
Tel: +82-51-990-6283
Fax: +82-51-254-2504
E-mail: yusom2015@gmail.com
ORCID: https://orcid.org/0000-0002-4829-0866
Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, Korea
Tel: +82-51-990-6283
Fax: +82-51-254-2504
E-mail: yusom2015@gmail.com
ORCID: https://orcid.org/0000-0002-4829-0866
Received May 11, 2018; Revised June 2, 2018; Accepted June 4, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Abstract
- Prophylactic anticoagulation for high-risk patients of pulmonary embolism (PE) prevails as acute PE potentially leads to hemodynamic instability resulting in death. Notwithstanding the adequate thromboprophylaxis, rarely, we may face a patient’s critical condition with PE. We report here on the patient given intraoperative cardiopulmonary resuscitation that the cause was revealed to be PE despite subcutaneous anticoagulant until the day before scheduled secondary operation. The 72-year-old male patient had already undergone first emergency surgery for right tibia and patella fractures without any problems. Albeit effective, prophylaxis for thromboembolism cannot guarantee PE prevention. With this sobering fact in mind, additionally, early diagnosis and prompt management of PE, especially through interdepartmental coordination, should produce patients’ best outcomes.
- Keywords : Anticoagulants; Resuscitation; Venous thrombosis; Pulmonary embolism
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