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[Fatal pulmonary embolism during knee surgery under epidural anesthesia]
S Kato1, K Okada, C Sakuramoto
1Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara.
Masui. the Japanese Journal of Anesthesiology
|March 1, 1997
Abstract:
A 36 year old male patient suddenly died of pulmonary embolism during the second application of a pneumatic tourniquet undergoing tibial fracture repair. Pulmonary artery angiography using Swan-Ganz catheter demonstrated that the left and right pulmonary arteries were occluded except the partial left upper lobe. PaO2 was below 7 mmHg, and cardiopulmonary resuscitation was not possible. Autopsy showed massive emboli completely blocking the both pulmonary arteries.