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Vol.66 (2020) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1326

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Title: It was not a fall, but fainting: A case report of pulmonary embolism
Authors: Fujita, Yoshihisa
Shimada, Kumi
Nishikawa, Koichi
Affiliation: 災害医療支援講座
Source title: Fukushima Journal of Medical Science
Volume: 66
Issue: 2
Start page: 113
End page: 117
Issue Date: 2020
Abstract: We encountered a case of pulmonary thromboembolism, in which an 84-year-old woman (body weight 62 kg, height 150 cm) fell in the ward eight days after upper arm surgery. In this event, she had fractured her ankle and hit her head, with transient loss of consciousness. She needed surgery for the ankle fracture under general anesthesia. Her anesthesia course was unstable, with heart rate varying between 95 and 140 bpm, systolic blood pressure between 70 and 110 mmHg, and oxygen saturation between 92 and 98%. Immediately after reversing anesthesia, we performed bedside ultrasound and diagnosed acute pulmonary embolism in the operating room. We assume that the event was not a simple fall, but pulmonary embolism-related fainting (syncope). This case and recent reports provide two lessons: (1) cases of syncope among postoperative patients may be reported as simple falls in the safety surveillance of hospitals, and (2) ultrasonography at the bedside plays a pivotal role in the diagnosis of pulmonary embolism in perioperative settings.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1326
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1326/1/FksmJMedSci_66_p113.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2020-05
PubMed ID: 32713871
Related Page: https://doi.org/10.5387/fms.2020-05
Rights: © 2020 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.66 (2020)

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