Abstract
Pulmonary embolism (PE) is a significant cause of hospitalization, morbidity and mortality and frequently triggers referral to critical care services. Critically ill patients are also at increased risk of developing venous thrombo-embolism (VTE) and acute PE. Critical care clinicians should be confident in their approach to the patient with suspected and diagnosed PE. Furthermore, the co-morbid conditions in this patient group may present additional challenges both in diagnosis (e.g. safe access to radiology) and management (e.g. absolute and relative contraindications to anticoagulation/thrombolysis in critically ill patients). This brief review summarizes the contemporary evidence base regarding both diagnosis and treatment strategies and draws upon this to suggest a simple algorithm for investigation, risk stratification and management, particularly tailored to patients within a critical care setting.
| Original language | English |
|---|---|
| Pages (from-to) | 126-132 |
| Number of pages | 7 |
| Journal | Anaesthesia and Intensive Care Medicine |
| Volume | 18 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2017 |
| Externally published | Yes |
Keywords
- Anticoagulation
- computed tomography pulmonary angiogram (CTPA)
- embolectomy
- IVC filter
- massive pulmonary embolism
- pulmonary embolism
- submassive pulmonary embolism
- thrombolysis
- venous thrombo-embolism (VTE)
Cite this
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The management of pulmonary embolism. / Lewis, Jane E.; Pilcher, David V.
In: Anaesthesia and Intensive Care Medicine, Vol. 18, No. 3, 03.2017, p. 126-132.Research output: Contribution to journal › Review Article › Research › peer-review
TY - JOUR
T1 - The management of pulmonary embolism
AU - Lewis, Jane E.
AU - Pilcher, David V.
PY - 2017/3
Y1 - 2017/3
N2 - Pulmonary embolism (PE) is a significant cause of hospitalization, morbidity and mortality and frequently triggers referral to critical care services. Critically ill patients are also at increased risk of developing venous thrombo-embolism (VTE) and acute PE. Critical care clinicians should be confident in their approach to the patient with suspected and diagnosed PE. Furthermore, the co-morbid conditions in this patient group may present additional challenges both in diagnosis (e.g. safe access to radiology) and management (e.g. absolute and relative contraindications to anticoagulation/thrombolysis in critically ill patients). This brief review summarizes the contemporary evidence base regarding both diagnosis and treatment strategies and draws upon this to suggest a simple algorithm for investigation, risk stratification and management, particularly tailored to patients within a critical care setting.
AB - Pulmonary embolism (PE) is a significant cause of hospitalization, morbidity and mortality and frequently triggers referral to critical care services. Critically ill patients are also at increased risk of developing venous thrombo-embolism (VTE) and acute PE. Critical care clinicians should be confident in their approach to the patient with suspected and diagnosed PE. Furthermore, the co-morbid conditions in this patient group may present additional challenges both in diagnosis (e.g. safe access to radiology) and management (e.g. absolute and relative contraindications to anticoagulation/thrombolysis in critically ill patients). This brief review summarizes the contemporary evidence base regarding both diagnosis and treatment strategies and draws upon this to suggest a simple algorithm for investigation, risk stratification and management, particularly tailored to patients within a critical care setting.
KW - Anticoagulation
KW - computed tomography pulmonary angiogram (CTPA)
KW - embolectomy
KW - IVC filter
KW - massive pulmonary embolism
KW - pulmonary embolism
KW - submassive pulmonary embolism
KW - thrombolysis
KW - venous thrombo-embolism (VTE)
UR - http://www.scopus.com/inward/record.url?scp=85009816148&partnerID=8YFLogxK
U2 - 10.1016/j.mpaic.2016.12.001
DO - 10.1016/j.mpaic.2016.12.001
M3 - Review Article
VL - 18
SP - 126
EP - 132
JO - Anaesthesia and Intensive Care Medicine
JF - Anaesthesia and Intensive Care Medicine
SN - 1472-0299
IS - 3
ER -