High and intermediate risk pulmonary embolism in the ICU

被引:12
|
作者
Millington, Scott J. [1 ]
Aissaoui, Nadia [2 ]
Bowcock, Emma [3 ]
Brodie, Daniel [4 ]
Burns, Karine E. A. [5 ,6 ]
Doufle, Ghislaine [5 ,7 ]
Haddad, Francois [8 ,9 ,10 ]
Lahm, Tim [11 ]
Piazza, Gregory [12 ]
Sanchez, Olivier [13 ,14 ]
Savale, Laurent [15 ,16 ]
Vieillard-Baron, Antoine [17 ,18 ]
机构
[1] Univ Ottawa, Ottawa Hosp, Crit Care, Ottawa, ON, Canada
[2] Ctr & Univ Paris Cite, Hop Cochin, AP HP, Serv Med Intens Reanimat, Paris, France
[3] Univ Sydney, Nepean Hosp, Dept Intens Care, Sydney, Australia
[4] Johns Hopkins Univ, Sch Med, Dept Med, Div Pulm & Crit Care Med, Baltimore, MD USA
[5] Univ Toronto, Interdept Div Crit Care, Toronto, ON, Canada
[6] Unity Hlth Toronto St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada
[7] Toronto Gen Hosp, Dept Anesthesia & Pain Management, Toronto, ON, Canada
[8] Stanford Univ, Sch Med, Div Cardiovasc Med, Stanford, CA USA
[9] Stanford Univ, Stanford Cardiovasc Inst, Stanford, CA USA
[10] Stanford Univ, Vera Moulton Wall Ctr Pulm Vasc Dis, Stanford, CA USA
[11] Univ Colorado, Rocky Mt Reg VA Med Ctr, Pulm Sci & Crit Care Med, Natl Jewish Hlth, Denver, CO USA
[12] Harvard Med Sch, Brigham & Womens Hosp, Boston, MA USA
[13] Hop Europeen Georges Pompidou, APHP, Serv Pneumol & Soins Intens, Paris, France
[14] Univ Paris Cite, INSERM, Innovat Therapies Hemostasis, UMR S 1140, Paris, France
[15] Hop Bicetre, Dept Resp & Intens Care Med, Le Kremlin Bicetre, France
[16] Hop Marie Lannelongue, INSERM, UMR S 999, Le Plessis Robinson, France
[17] Univ Hosp Ambroise Pare, APHP, Med & Surg ICU, Boulogne Billancourt, France
[18] Univ Versailles St Quentin Yvelines, Inserm U1018, CESP, Guyancourt, France
关键词
High-risk pulmonary embolism; Fibrinolysis; Circulatory shock; EXTRACORPOREAL MEMBRANE-OXYGENATION; ACUTE COR-PULMONALE; RIGHT-VENTRICULAR FUNCTION; THROMBOLYTIC THERAPY; COMPUTED-TOMOGRAPHY; RANDOMIZED-TRIAL; EMERGENCY-DEPARTMENT; SURGICAL EMBOLECTOMY; MULTICENTER TRIAL; INTENSIVE-CARE;
D O I
10.1007/s00134-023-07275-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pulmonary embolism (PE) is a common and important medical emergency, encountered by clinicians across all acute care specialties. PE is a relatively uncommon cause of direct admission to the intensive care unit (ICU), but these patients are at high risk of death. More commonly, patients admitted to ICU develop PE as a complication of an unrelated acute illness. This paper reviews the epidemiology, diagnosis, risk stratification, and particularly the management of PE from a critical care perspective. Issues around prevention, anticoagulation, fibrinolysis, catheter-based techniques, surgical embolectomy, and extracorporeal support are discussed.
引用
收藏
页码:195 / 208
页数:14
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