Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2022; 10(15): 5111-5118
Published online May 26, 2022. doi: 10.12998/wjcc.v10.i15.5111
Anesthetic management for intraoperative acute pulmonary embolism during inferior vena cava tumor thrombus surgery: A case report
Pei-Yu Hsu, En-Bo Wu
Pei-Yu Hsu, Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
En-Bo Wu, Department of Anesthesiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
Author contributions: Hsu PY collected clinical data, discussed the details, contributed to the draft writing; Wu EB modified the manuscript and was a major contributor in writing the manuscript. Both authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: En-Bo Wu, MD, Attending Doctor, Department of Anesthesiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123 Ta-Pei Road, Niao-Song District, Kaohsiung 833, Taiwan. enbofive@gmail.com
Received: January 6, 2022
Peer-review started: January 6, 2022
First decision: February 21, 2022
Revised: March 1, 2022
Accepted: March 27, 2022
Article in press: March 27, 2022
Published online: May 26, 2022
Processing time: 138 Days and 10.5 Hours
Core Tip

Core Tip: Intraoperative acute pulmonary embolism (APE) is a potentially life-threatening condition, while early detection with prompt management may help improve prognosis. An acute decrease in end-tidal carbon dioxide is an early sign indicating APE. When intraoperative APE is suspected, transesophageal echocardiography is useful in the diagnosis and monitoring before computer tomography pulmonary angiogram. Besides rapid diagnosis, further management and supportive treatment should also be considered to save the patient’s life.