Title of article
Successful Treatment of Pulmonary Embolism Causing Cardiac Arrests with Reteplase during Neurosurgery: A Case Report
Author/Authors
Yousefi-Mazhin ، Ehsan Department of Clinical Pharmacy - Faculty of Pharmacy - Tehran University of Medical Sciences , Mojtahedzadeh ، Mojtaba Department of Clinical Pharmacy - Faculty of Pharmacy - Tehran University of Medical Sciences , Karballaei-Mirzahosseini ، Hossein Department of Clinical Pharmacy - Faculty of Pharmacy - Tehran University of Medical Sciences , Hassanpour ، Rezvan Department of Clinical Pharmacy - Faculty of Pharmacy - Tehran University of Medical Sciences , Sharifnia ، Hamidreza Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Najmeddin ، Farhad Department of Clinical Pharmacy - Faculty of Pharmacy - Tehran University of Medical Sciences , Ameli ، Amirhossein Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Khadem-Abbasi ، Mohammad Javad Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Fotouhi ، Mansoureh Department of Clinical Pharmacy - Faculty of Pharmacy - Tehran University of Medical Sciences , Etezadi ، Farhad Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Khajavi ، Mohammad Reza Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Shariat Moharari ، Reza Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Pourfakhr ، Pejman Anesthesia, Critical Care, and Pain Management Research Center - Tehran University of Medical Sciences , Ahmadi ، Arezoo Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Neishaboury ، Mohammad Reza Department of Anesthesiology - Sina Hospital - Tehran University of Medical Sciences , Najafi ، Atabak Anesthesia, Critical Care, and Pain Management Research Center - Tehran University of Medical Sciences
From page
411
To page
414
Abstract
Pulmonary embolism can cause cardiac arrest. Fibrinolytic therapy and surgical embolectomy can be used to manage it. This case report presents the clinical course of a patient who experienced intraoperative cardiac arrest resulting from massive pulmonary embolism. The patient encountered three instances of cardiac arrest requiring 35 minutes of cardiopulmonary resuscitation. Subsequent treatment involved the administration of reteplase, a thrombolytic agent. Following resuscitation, the patient developed multiple organ dysfunction in the intensive care unit, necessitating the use of diverse medications. Successful resolution of organ dysfunction led to the patient s transfer to the neurosurgery department. This case highlights the complexities involved in managing pulmonary embolism-induced cardiac arrest and subsequent multiorgan dysfunction, emphasizing the significance of a multidisciplinary approach in the comprehensive care and treatment of these patients.
Keywords
Reteplase , Cardiac arrest , Pulmonary embolism , Intraoperative
Journal title
Archives of Anesthesiology and Critical Care
Journal title
Archives of Anesthesiology and Critical Care
Record number
2763101
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