Acute pulmonary embolism during an endoscopic retrograde cholangiopancreatography.

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dc.contributor.authorPainter, Nate P
dc.contributor.authorKumar, Priya A
dc.contributor.authorArora, Harendra
dc.date.accessioned2014-04-29T05:52:10Z
dc.date.available2014-04-29T05:52:10Z
dc.date.issued2014-04
dc.description.abstractA 76‑year‑old female patient presented for an endoscopic retrograde cholangiopancreatography (ERCP) for the removal of a biliary stent and lithotripsy. During the procedure, an acute drop in the end‑tidal CO2, followed by cardiovascular collapse prompted the initiation of the advanced cardiac life support protocol. Transesophageal echocardiography (TEE) demonstrated direct evidence of pulmonary embolism. The patient was promptly treated with thrombolytic therapy and subsequently discharged home on oral warfarin therapy, with no noted sequelae. Although, there have been case reports of air embolism during an ERCP presenting with cardiovascular collapse, to the best of our knowledge, there are no reported cases of acute pulmonary embolus during this procedure. While the availability of TEE in the operating suites is quite common, quick access and interpretation capabilities in remote locations may not be as common. With the expansion of anesthesia services outside of the operating rooms, it may be prudent to develop rapid response systems that incorporate resources such as TEE and trained personnel to deal with such emergent situations.en_US
dc.identifier.citationPainter Nate P, Kumar Priya A, Arora Harendra. Acute pulmonary embolism during an endoscopic retrograde cholangiopancreatography. Annals of Cardiac Anaesthesia. 2014 Apr; 17(2): 145-147.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/150315
dc.language.isoenen_US
dc.source.urihttps://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=2;spage=145;epage=147;aulast=Painteren_US
dc.subjectEndoscopic retrograde cholangiopancreatographyen_US
dc.subjectPulmonary embolismen_US
dc.subjectTransesophageal echocardiographyen_US
dc.subject.meshAged
dc.subject.meshCholangiopancreatography, Endoscopic Retrograde --adverse effects
dc.subject.meshEchocardiography, Transesophageal
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshPulmonary Embolism --diagnosis
dc.subject.meshPulmonary Embolism --etiology
dc.titleAcute pulmonary embolism during an endoscopic retrograde cholangiopancreatography.en_US
dc.typeArticleen_US
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