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KMID : 1155520090040010019
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Anesthesia and Pain Medicine
2009 Volume.4 No. 1 p.19 ~ p.23
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A management of a pulmonary thromboembolism patient under monitoring of VigileoTM monitor (pulse contour cardiac output monitor) : A case report
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Shin Hwang-Cheol
Lee Sang-Kyi
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Abstract
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Pulmonary embolism (PE) is an uncommon but, highly lethal condition that is a leading cause of death. However, prompt diagnosis and treatment can dramatically reduce the mortality rate and morbidity of PE. Unfortunately, the diagnosis is often missed because of vague and nonspecific symptoms. We report a case of pulmonary thromboembolism (PTE) which was developed during surgical preparation for pelvic bone and sacro-iliac joint reduction surgery after induction of general anesthesia. We monitored and treated efficiently the PTE patient under monitoring of VigileoTM monitor (pulse contour cardiac output monitor) in operating room and intensive care unit. After complete resolving of PTE, the surgery was reperformed with VigileoTM monitoring without any complications. We suggest that the VigileoTM monitor is simple and minimal invasive method to monitor the hemodynamic status in management of PTE patient.
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KEYWORD
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hemodynamic, pulmonary embolisml, pulse contour cardiac output.
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