SciELO - Scientific Electronic Library Online

 
vol.52 issue2Marked hypercapnia during cardiopulmonary bypass for myocardial revascularization: case reportPostanesthetic delirium author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094

Abstract

PIMENTA, Karina Bernardi  and  NUNES, Beatriz do Céu. Pulmonary embolism in the operating room: case report. Rev. Bras. Anestesiol. [online]. 2002, vol.52, n.2, pp. 236-241. ISSN 0034-7094.  http://dx.doi.org/10.1590/S0034-70942002000200012.

BACKGROUND AND OBJECTIVES: Pulmonary embolism is a common postoperative complication. This report aimed at presenting a case of pulmonary embolism in the operating room and at calling the attention to the importance of venous thrombosis prophylaxis in surgical patients. CASE REPORT: The authors describe a case of a male patient, 55 years of age and 83 kg submitted to radical prostatectomy for prostate cancer. At the end of the surgery and already extubated, patient presented hemodynamic instability and a decrease in SpO2 to 80%. Patient was re-intubated and sent to the ICU. CT images suggested pulmonary embolism. Patient died in the 5th postoperative day. CONCLUSIONS: A high suspicion rate is not enough to establish a diagnosis because pulmonary embolism is a silent disease and its investigation routine is not highly sensitive. Early prophylaxis is the best strategy.

Keywords : COMPLICATIONS [pulmonary embolism]; SURGERY, Urologic [prostatectomy].

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · pdf in English | Portuguese