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KMID : 0352120140290020001
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Journal of Kyung Hee University
2014 Volume.29 No. 2 p.1 ~ p.4
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Pulmonary Thromboembolism after Combined Spinal-Epidural Anesthesia in Femur Fracture Patient
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You Dong-Geun
Lee Jeong-Hyun
Lee Mi-Hyeon
Choi Eun-Mi
Choi Young-Ryong
Chung Mi-Hwa
Kang Hwa-Ja
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Abstract
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Pulmonary thromboembolism in patient receiving hip and lower extremity orthopedic surgery is not uncommon and can cause life-threatening event. Because of its non-specific symptom, it is not easy to make diagnosis and treat promptly in operating room. Rapid and accurate access of pulmonary thromboembolism is very important in good prognosis of high risk patients. It can develop any time in perioperative time, so that careful monitoring to patient is necessary to early diagnosis. We report a case in which develop pulmonary thromboembolism just after providing combined spinal-epidural anesthesia for femur neck fracture surgery. Because we do nothing but only changing position lateral to supine, change of position must be a factor of developing pulmonary thromboembolism.
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KEYWORD
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Pulmonary thromboembolism, Combined Spinal-Epidural anesthesia, Position change
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