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Case Reports
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Pulmonary Embolism Detected after Induction of the General Anesthesia: A Case Report
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Sang Ho Choi, Young Mi Kim, Soo Kyung Lee
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Korean J Crit Care Med. 2003;18(1):43-47.
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Abstract
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- Pulmonary embolism is a common medical complication following major orthopedic procedures of the lower extremities and a leading cause of morbidity and mortality.
However, the clinical manifestations of pulmonary embolism are nonspecific and its diagnosis may be difficult. In this case, we detected the pulmonary embolism after induction of the general anesthesia for operation of tibiofibular fracture. The patient has undergone operation for hemoperitoneum 19 days ago. The nonspecific cardiopulmonary symptoms occuring from minor pulmonary embolism should be sought during the preoperative anesthetic evaluation of patients at high risk for pulmonary embolism.
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Successful Coronary Interventions with the Aid of Abciximab (ReoPro (R)) in High-Risk Patients: Report of Two Cases
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Woo Suck Park, Myung Ho Jeong, Nam Ho Kim, Young Keun Ahn, Youl Bae, Gwang Chae Gill, Joo Hyung Park, Jeong Gwan Cho, Jong Chun Park, Jung Chaee Kang
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Korean J Crit Care Med. 1998;13(2):254-260.
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Abstract
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- Abrupt closure of coronary artery during coronary intervention is one of major limitations especially in high-risk patients. Platelets are responsible for composing acute thrombotic occlusion at the site of therapeutic arterial injury. Abciximab (platelet glycoprotein IIb/IIIa receptor blocker) might be helpful in preventing the acute thrombotic occlusion. We experienced an excellent effects of the drug in two cases of high-risk patients, unsuccessful thrombolytics and PTCA with acute occlusion. With additional use of abciximab we overcame the complications and succeeded in getting normal coronary flow and resultant successful angioplasties.