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Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

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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...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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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...
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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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...
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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

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Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
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Pulmonary Function Tests01:25

Pulmonary Function Tests

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Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
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A Porcine Model of Acute Autologous Pulmonary Embolism
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The Pulmonary Embolism Response Team: Rationale, Operation, and Outcomes.

James J Glazier1,2, Skarlet Patiño-Velasquez1, Carlos Oviedo1

  • 1Department of Medicine, Wayne State University School of Medicine, Detroit, Michigan.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|September 26, 2022
PubMed
Summary
This summary is machine-generated.

Pulmonary Embolism Response Teams (PERT) improve care standardization for acute pulmonary embolism (PE) patients. Further research is needed to confirm if PERTs enhance clinical outcomes, especially for high-risk PE cases.

Keywords:
interventional cardiologyinterventional radiologymultidisciplinary approachpulmonary embolism response teampulmonary embolusrapid response team

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Area of Science:

  • Cardiology
  • Pulmonology
  • Health Services Research

Background:

  • Acute pulmonary embolism (PE) requires rapid assessment and treatment.
  • Pulmonary Embolism Response Teams (PERT) are multidisciplinary groups designed for acute PE management.
  • PERT models have gained global acceptance over the past decade.

Purpose of the Study:

  • To evaluate the impact of the PERT model on PE patient care.
  • To assess the effectiveness of PERT in delivering a full spectrum of therapies (medical, endovascular, surgical).
  • To determine if PERT improves clinical outcomes for PE patients, particularly those with massive and submassive PE.

Main Methods:

  • Establishment of institutionally based, multidisciplinary PERTs.
  • Formalized mechanisms for rapid assessment and treatment execution.
  • Multidisciplinary follow-up protocols for PE patients.
  • Formation of the international PERT Consortium to advance PE care.
  • Compilation of a large, prospective PERT Consortium database for analysis.

Main Results:

  • Considerable evidence suggests the PERT model enhances care delivery and standardization for PE patients.
  • The PERT model is particularly beneficial for patients with massive and submassive PE.
  • The impact of PERTs on actual clinical outcomes remains under investigation.

Conclusions:

  • The PERT model facilitates comprehensive and standardized care for acute PE.
  • Ongoing analysis of the PERT Consortium database is crucial for understanding PERT's role in intermediate-to-high risk PE.
  • Further research will clarify which PE patient populations benefit most from PERT interventions.