Related Experiment Video
Updated: Dec 20, 2025
05:56
Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
Published on: September 6, 2024
5.7K
Pulmonary Embolism in Intensive Care Unit
Michael Baram1, Bharat Awsare1, Geno Merli2
1Department of Medicine, Division of Pulmonary and Critical Care, Jefferson University Hospital, Korman Lung Institute, 834 Walnut Street, Suite 650, Philadelphia, PA 19107, USA.
Critical Care Clinics
|June 1, 2020
Summary
Managing complex pulmonary embolism (PE) requires a multidisciplinary approach. Pulmonary Embolism Response Teams (PERT) are crucial for critically ill patients, coordinating advanced therapies and intensive care unit management.
Area of Science:
- Critical Care Medicine
- Cardiology
- Pulmonary Medicine
Background:
- Pulmonary embolism (PE) management is increasingly complex.
- Advanced therapies include catheter-based treatments, surgical thrombectomies, and cardiac assist devices.
- PE heterogeneity necessitates a coordinated, multidisciplinary approach.
Purpose of the Study:
- To address the unique needs of critically ill patients with PE.
- To highlight the role of Pulmonary Embolism Response Teams (PERT).
- To emphasize the importance of intensive care units (ICUs) in PE management.
Main Methods:
- Review of current PE management strategies.
- Discussion of multidisciplinary team (MDT) roles.
- Focus on critical care interventions for PE.
Main Results:
- PERT models are emerging to manage complex PE cases.
- ICUs provide an optimal setting for integrated PE care.
- Coordinated specialty interaction is key for treatment planning.
Conclusions:
- A multidisciplinary team approach is essential for complex PE.
- PERT models enhance the care of critically ill PE patients.
- Integrated management in ICUs improves outcomes for severe PE.
Related Concept Videos
01:29Pulmonary Embolism I: Introduction
408
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...
408
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
183
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...
183
01:27Pulmonary Embolism III: Nursing Management
219
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...
219
01:30Pneumonia I: Introduction
634
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
634
01:26Pneumothorax-I
1.0K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.0K
01:30Pneumonia III: Complications and Assessment
696
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
696