Successful Treatment of Pulmonary Embolism Causing Cardiac Arrests with Reteplase during Neurosurgery: A Case Report

Autor: Ehsan Yousefi-Mazhin, Mojtaba Mojtahedzadeh, Hossein Karballaei-Mirzahosseini, Rezvan Hassanpour, Hamidreza Sharifnia, Farhad Najmeddin, Amirhossein Ameli, Mohammad Javad Khadem-Abbasi, Mansoureh Fotouhi, Farhad Etezadi, Mohammad Reza Khajavi, Reza Shariat Moharari, Pejman Pourfakhr, Arezoo Ahmadi, Mohammad Reza Neishaboury, Atabak Najafi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Archives of Anesthesia and Critical Care, Vol 10, Iss 4 (2024)
Druh dokumentu: article
ISSN: 2423-5849
DOI: 10.18502/aacc.v10i4.16271
Popis: 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.
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