Journal of Clinical Case Reports

Mridu Paban Nath

Publications

• Case Report
  Anaesthetic Management of Massive Pulmonary Embolism: Case report and Review
  Author(s): Mridu Paban Nath, Nitya Nand Kumar, Malavika Barman and Rajib Kr BhattacharyyaMridu Paban Nath, Nitya Nand Kumar, Malavika Barman and Rajib Kr Bhattacharyya
  
  Acute massive pulmonary embolism is a life-threatening emergency with a very high mortality. A 34 year old man, presented in our emergency department with complaints of NYHA class-III dyspnoea, cough, palpitation, and left sided chest pain. The clinical findings and investigations suggest diagnosis of pulmonary embolism followed by confirmation with CT angiography. The patient was taken to the operation theatre with supported hemodynamically with dobutamine infusion. Using required monitors, anesthetic induction was done with etomidate and fentanyl followed by the tracheal intubation with rocuronium. During induction, there was sudden hypotension which was managed with fluid boluses and norepinephrine boluses and continuing infusion of dobutamine. Anaesthesia was maintained with 50% oxygen with air, pancuronium, fentanyl and midazolam. After midline sternotomy, using Cardiopulmonary B.. Read More»
  DOI: 10.4172/2165-7920.1000466

  Abstract PDF