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07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
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Profoundly Delayed Emergence due to Pulmonary Embolism.
Allison Steinauer1, Whitney Marvin2, Natalie R Barnett3
1Department of Pediatrics, University of North Carolina Health, Chapel Hill, North Carolina, USA.
Case Reports in Anesthesiology
|February 26, 2025
Summary
A pediatric patient experienced a pulmonary embolism after orthopedic surgery, leading to breathing difficulties and delayed recovery. This case highlights the importance of recognizing rare perioperative complications.
Area of Science:
- Anesthesiology
- Cardiovascular Surgery
- Pediatric Orthopedics
Background:
- Pulmonary embolism (PE) is a rare but critical perioperative complication.
- This case involves a 12-year-old female undergoing extensive lower limb orthopedic surgery.
Observation:
- The patient exhibited acute hypercapnia, tachycardia, and delayed emergence post-operatively.
- Symptoms appeared after tourniquet deflation and cessation of sevoflurane anesthesia.
Findings:
- Computed tomography (CT) of the chest revealed bilateral pulmonary artery filling defects, confirming PE.
- The PE likely caused ventilation-perfusion (V/Q) mismatch and contributed to retained sevoflurane.
Implications:
- This case underscores the need for vigilance regarding PE in pediatric patients undergoing surgery.
- Early recognition and management of perioperative PE are crucial for patient outcomes.
- Understanding the interplay between PE, V/Q mismatch, and anesthetic agents is vital for safe surgical practice.
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