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Canadian Journal of Anesthesia, Vol 33, 79-83, Copyright © 1986 by Canadian Anesthesiologists' Society

Anaesthetic Technique for Transvenous Pulmonary Embolectomy

MICHAEL E. GOLDBERG MD1, JOHN H. MOORE MD1, BRUCE E. JARRELL MD1, and JOSEPH L. SELTZER MD1

1 Departments of Anaesthesiology and Surgery, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania

Address correspondence to: Dr. Michael E. Goldberg, Thomas Jefferson University Hospital, 111 S. 11th St., Suite 6275, Philadelphia, Pennsylvania 19107.

Transvenous pulmonary catheter embolectomy is being used as a method of treatment for patients suffering from massive pulmonary embolism. The anaesthetic management of these patients can be complex. Presented is a case of transvenous pulmonary embolectomy in a patient who also had an intravascular volume deficit secondary to haemorrhage and possible reperfusion oedema. A discussion of appropriate monitoring during procedure follows.

Key Words: COMPLICATIONS: pulmonary embolism • SURGERY: embolectomy, transvenous pulmonary ambolectomy






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Copyright © 1986 by the Canadian Anesthesiologists' Society.