High and intermediate risk pulmonary embolism in the ICU.
Scott J MillingtonNadia AissaouiEmma BowcockDaniel BrodieKarine E A BurnsGhislaine DoufléFrançois HaddadTim LahmGregory PiazzaOlivier SanchezLaurent SavaleAntoine Vieillard-BaronPublished in: Intensive care medicine (2023)
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.
Keyphrases
- pulmonary embolism
- intensive care unit
- inferior vena cava
- acute care
- mechanical ventilation
- end stage renal disease
- emergency department
- healthcare
- ejection fraction
- chronic kidney disease
- newly diagnosed
- public health
- atrial fibrillation
- liver failure
- prognostic factors
- palliative care
- respiratory failure
- venous thromboembolism
- randomized controlled trial
- acute respiratory distress syndrome
- hepatitis b virus
- extracorporeal membrane oxygenation
- cord blood
- ultrasound guided
- aortic dissection