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Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
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 1806-907X. 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].