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In this podcast episode, we discuss massive, sub-massive, and non-massive pulmonary embolism. This common diagnosis is often misunderstood and mismanaged. To remedy that, we highlight categories of severity, pregnancy-related complications, effective and ineffective diagnostic tools, and definitive treatment options you should and should not consider.
Currigan, D. A., Hughes, R. J., Wright, C. E., Angus, J. A., & Soeding, P. F. (2014, November 01). Vasoconstrictor Responses to Vasopressor Agents in Human Pulmonary and Radial Arteries:An In Vitro Study. Retrieved from http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1936478
Farinde, A. (2017, January 07). Vasopressors: Effects of Various Vasopressors. Retrieved from https://emedicine.medscape.com/article/2172220-overview
Farkas, J. (2017, June 04). Eight pearls for the crashing patient with massive PE. Retrieved from https://emcrit.org/pulmcrit/eight-pearls-for-the-crashing-patient-with-massive-pe/
Prats, M. (2018, June 01). Ultrasound G.E.L. – Multiorgan Ultrasound for Pulmonary Embolism. Retrieved from http://www.emdocs.net/ultrasound-g-e-l-multiorgan-ultrasound-for-pulmonary-embolism/
Price, L. C., Wort, S. J., Finney, S. J., Marino, P. S., & Brett, S. J. (2010). Pulmonary vascular and right ventricular dysfunction in adult critical care: Current and emerging options for management: A systematic literature review. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219266/#__ffn_sectitle
Simcox, L. E., Ormesher, L., Tower, C., & Greer, I. A. (2015, December). Pulmonary thrombo-embolism in pregnancy: Diagnosis and management. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818214/
No mention of nitric oxide. Any benefit from this with PE? Possibly helping with the Pulm. HTN?
Anthony,
Thank you for the comment! With respect to nitric… It is everybody’s favorite answer to everything. It’s almost as cool as Ketamine. However, the reality is that it’s a bridge therapy. Nitric doesn’t convey improved mortality in almost anything. It just temporizes.