Korean J Anesthesiol.  1999 Mar;36(3):534-539. 10.4097/kjae.1999.36.3.534.

Pulmonary Thromboembolism Following Spinal Anesthesia: A case report

• Lee JJ
• Shin BS
• Hong JS

• KMID: 2032300
• DOI: http://doi.org/10.4097/kjae.1999.36.3.534

Abstract

Pulmonary thrombo-embolism in operating room is one of the important cause of morbidity and mortality in patients undergoing femur neck fracture surgery. However, the diagnosis of pulmonary thromboembolism may not be easy because sudden shock can have many different causes (e.g. myocardial infarction, hypovolemia, pneumothorax, non-cardiogenic pulmonary edema, pulmonary thrombo- embolism) and specialized diagnostic tools are not readily available in the operating room. Rapid and accurate diagnosis of pulmonary thromboembolism is very important in outcome of patients. We report a case in which pulmonary thromboembolism under spinal anesthesia occured just before the beginning of operation.

Keyword

Anesthesia, spinal; Complication, pulmonary, thrombo-embolism; Surgery, orthopedic, femur fracture

MeSH Terms

Anesthesia, Spinal*
Diagnosis
Femoral Neck Fractures
Humans
Hypovolemia
Mortality
Myocardial Infarction
Operating Rooms
Pneumothorax
Pulmonary Edema
Pulmonary Embolism*
Shock