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Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
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Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Related Experiment Video

Updated: May 17, 2026

A Porcine Model of Acute Autologous Pulmonary Embolism
07:44

A Porcine Model of Acute Autologous Pulmonary Embolism

Published on: September 6, 2024

Pulmonary embolism after shoulder arthroscopy.

Richard Edgar1, Sameer Nagda, Russell Huffman

  • 1Anderson Orthopaedic Clinic, Arlington, Virginia, USA. r.edgar13@gmail.com

Orthopedics
|November 7, 2012
PubMed
Summary

Pulmonary embolism (PE) is a rare complication after shoulder arthroscopy. Orthopedic surgeons must remain vigilant for PE signs and symptoms, even in low-risk patients, and consider prophylaxis for those with coagulopathic risk factors.

Related Experiment Videos

Last Updated: May 17, 2026

A Porcine Model of Acute Autologous Pulmonary Embolism
07:44

A Porcine Model of Acute Autologous Pulmonary Embolism

Published on: September 6, 2024

Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Pulmonary Medicine

Background:

  • Deep venous thrombosis (DVT) and pulmonary embolism (PE) are common after lower-extremity surgery but rare after upper-extremity procedures.
  • Shoulder arthroscopy is generally considered low-risk for thromboembolic events.
  • Preoperative assessment for risk factors remains crucial despite the rarity of PE post-shoulder arthroscopy.

Observation:

  • This article presents three cases of nonfatal pulmonary embolism (PE) following elective shoulder arthroscopy.
  • All surgeries were performed with patients in the lateral decubitus position, with no intraoperative complications.
  • Symptom onset for PE varied from postoperative day 2 to day 29.

Findings:

  • One patient had no identifiable risk factors for PE, while two had pre-existing risk factors for DVT/PE.
  • Pulmonary embolism, though rare, is a serious potential complication of shoulder arthroscopy.
  • The cases highlight that PE can occur even after uncomplicated, elective shoulder procedures.

Implications:

  • Shoulder surgeons must maintain a high index of suspicion for PE signs and symptoms.
  • Prophylactic measures, such as mechanical or chemical prophylaxis, should be considered for patients with known coagulopathic risk factors.
  • Awareness and vigilance are essential for orthopedic surgeons regarding the possibility of PE after shoulder arthroscopy.