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Korean J Anesthesiol · Dec 2010
Pulmonary thromboembolism after tourniquet inflation under spinal anesthesia -A case report-.
- Ji-Eun Song, Duk-Hee Chun, Jee-Hyun Shin, Chunghyun Park, and Jong-Yeon Lee.
- Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
- Korean J Anesthesiol. 2010 Dec 1;59 Suppl:S82-5.
AbstractPulmonary thromboembolism is one of the most important causes of morbidity and mortality in patients undergoing lower extremity orthopedic surgery. Early diagnosis and appropriate management are important clinical challenges. In this case, massive pulmonary embolism causing sudden cardiac arrest was attributed to use of tourniquet inflation during lower extremity orthopedic surgery. Resuscitation procedures were initiated and transesophageal echocardiography revealed pulmonary thromboembolism. Patients with high suspicion for the presence of deep vein thrombus must be monitored thoroughly during limb exsanguinations.
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