High and intermediate risk pulmonary embolism in the ICU

被引:0
|
作者
Scott J. Millington
Nadia Aissaoui
Emma Bowcock
Daniel Brodie
Karine E. A. Burns
Ghislaine Douflé
François Haddad
Tim Lahm
Gregory Piazza
Olivier Sanchez
Laurent Savale
Antoine Vieillard-Baron
机构
[1] The University of Ottawa/The Ottawa Hospital,Critical Care
[2] Hôpital Cochin,Service de Médecine Intensive
[3] Assistance Publique-Hôpitaux de Paris (AP-HP). Centre & Université Paris Cité,Réanimation
[4] Nepean Hospital,Department of Intensive Care
[5] University of Sydney,Division of Pulmonary and Critical Care Medicine, Department of Medicine
[6] Johns Hopkins University School of Medicine,Interdepartmental Division of Critical Care
[7] University of Toronto,Department of Anesthesia and Pain Management
[8] Li Ka Shing Knowledge Institute,Division of Cardiovascular Medicine
[9] Unity Health Toronto–St. Michael’s Hospital,Stanford Cardiovascular Institute
[10] Toronto General Hospital,Pulmonary Sciences and Critical Care Medicine
[11] Stanford University School of Medicine,Brigham and Women’s Hospital
[12] Stanford University,Service de pneumologie et soins intensifs
[13] Vera Moulton Wall Center for Pulmonary Vascular Disease at Stanford University,Department of Respiratory and Intensive Care Medicine
[14] National Jewish Health,Medical and Surgical ICU
[15] University of Colorado,Inserm U1018
[16] Rocky Mountain Regional VA Medical Center,undefined
[17] Harvard Medical School,undefined
[18] Hopital Européen Georges Pompidou,undefined
[19] APHP,undefined
[20] INSERM UMR S 1140,undefined
[21] Innovative Therapies in Hemostasis,undefined
[22] Université Paris Cité,undefined
[23] Hôpital Bicêtre,undefined
[24] INSERM UMR_S 999,undefined
[25] Hôpital Marie Lannelongue,undefined
[26] University Hospital Ambroise Pare,undefined
[27] GHU Paris-Saclay,undefined
[28] APHP,undefined
[29] CESP,undefined
[30] Universite Versailles Saint-Quentin en Yvelines,undefined
来源
Intensive Care Medicine | 2024年 / 50卷
关键词
High-risk pulmonary embolism; Fibrinolysis; Circulatory shock;
D O I
暂无
中图分类号
学科分类号
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
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页码:195 / 208
页数:13
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