A Comprehensive Clinical Acumen Enhanced by Point-of-Care Ultrasonography in Managing Acute Life-Threatening Massive Pulmonary Thromboembolism in a Peripheral Setting: A Case Report

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dc.contributor.authorChhaperwal, Prabhaven_US
dc.contributor.authorKumar, Sudhiren_US
dc.contributor.authorSuri, Gurbinderen_US
dc.contributor.authorGarg, Umaen_US
dc.contributor.authorKapoor, Surajen_US
dc.contributor.authorDevarakonda, Bhargavaen_US
dc.date.accessioned2025-06-18T10:05:35Z
dc.date.available2025-06-18T10:05:35Z
dc.date.issued2025-03
dc.description.abstractAcute massive pulmonary thromboembolism (PTE) is a potentially life?threatening condition requiring urgent management to decrease mortality. However, in the peripheral setting, managing the emergency can be challenging. We report a case of massive PTE presenting with cardiopulmonary arrest, successfully managed with advanced cardiac life support, early initiation of anticoagulants (heparin), and thrombolytics. This case report explores the successful management of a critically ill patient presenting with massive pulmonary embolism in a peripheral healthcare facility, emphasizing the importance of a well?coordinated approach in such challenging environments. The approach in the case included recognizing the challenge with timely provisional diagnosis, initial stabilization, hemodynamic support, early consideration for anticoagulants, and thrombolysis after supporting provisional diagnosis with point?of?care ultrasonography (POCUS), team effort, and administrative support in Cas Evac to the tertiary care center. Timely administration of heparin and thrombolytics may serve as potential life?saving measures in peripheral settings, along with the availability of an ultrasound machine. Managing acute life?threatening massive PTE in peripheral settings requires a strategic and resourceful approach. Timely administration of heparin and thrombolytics may serve as potential life?saving measures. However, the administration of thrombolytics in PTE needs the support of POCUS to make quick decisions in peripheral settings. Collaboration between peripheral and advanced tertiary care healthcare facilities is crucial to ensure optimal outcomes for patients experiencing this critical condition.en_US
dc.identifier.affiliationsAnaesthesia AFMS Haryana, Indiaen_US
dc.identifier.affiliationsMD Medicine AFMS Haryana, Indiaen_US
dc.identifier.affiliationsENT, AFMS, Haryana, Indiaen_US
dc.identifier.affiliationsAFMS, Haryana, Indiaen_US
dc.identifier.affiliationsCommunity Medicine, AFMS, Hisar, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiothoracic Anaesthesiology, AFMS, Indiaen_US
dc.identifier.citationChhaperwal Prabhav, Kumar Sudhir, Suri Gurbinder, Garg Uma, Kapoor Suraj, Devarakonda Bhargava.A Comprehensive Clinical Acumen Enhanced by Point-of-Care Ultrasonography in Managing Acute Life-Threatening Massive Pulmonary Thromboembolism in a Peripheral Setting: A Case Report.Annals of Cardiac Anaesthesia.2025 Mar;28(1):61-64en_US
dc.identifier.issn0971-9784
dc.identifier.issn0974-5181
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247987
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume28en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_77_24en_US
dc.subjectHeparinen_US
dc.subjectperipheryen_US
dc.subjectpulmonary embolismen_US
dc.subjectthrombolysisen_US
dc.titleA Comprehensive Clinical Acumen Enhanced by Point-of-Care Ultrasonography in Managing Acute Life-Threatening Massive Pulmonary Thromboembolism in a Peripheral Setting: A Case Reporten_US
dc.typeJournal Articleen_US
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