Adrenal filter in patients with
Provides
Provides
Provides
Specifity
Sesibility
Fibrinolytics only in
Patient with
Patient with
Then
Patient without
Patient with
Patient with
Patient with
It is said that
Half life
Is
We proceed to
Results
Results
Results
Results
Results
Uncritical
Diagnosis
Patients with
Patients with
Pulmonary embolism is
In India
Mentions
Describes
Embolism
Critical

Update in the management of patients with pulmonary embolism

Blockage of an artery caused by blood clots moving from the legs to the lungs

Clinical presentation

variability from

dyspnoea

Tachypnea

Haemoptysis

Syncope

Shock

History

clinical probability assessment

Hemodynamic stability

Dimero D

Multislice tomography

hemodynamically stable

Tomography

Criteria to use

Wells

Probable
De 0 a 4

Unlikely
Greater than 4

Evaluate

Predisposing factors

Clinical probability

Signs and symptoms

clinical judgment

Ginebra

Evaluate

Predisposing factors

Clinical probability

Signs and symptoms

High

Greater than 10

Intermediate

4-10

Low

0-3

Take Dimero D's lab

Biological marker product of fibrin degradation

8 Hours

It is not reliable for the diagnosis of embolism, it is part of the diagnosis of

Trauma

Nephropathies

Sepsis

Peripheral arthropathies

Treatment

Pulmonary embolism

It is managed outpatient when

hemodynamic stability

Low risk

Treated with

External consultation

HBPM

Mass pulmonary embolism

Anticoagulation

Alteplasa 100 mg in the first 2 hours

Scheme that decays due to the change to the accelerated administration mode

1,5 millions of units in 2 hours

Anticoagulation

Streptokinasa 250.000 UI in
the first 30 minuts

100.000 UI every hour for 24 hours

Surgical pulmonary embolectomy

High risk and contraindication for fibrinolysis

After the procedure is performed

Normotechnical cardiopulmonary bypass

persistent hemodynamic instability

Pregnant patients

Greenfield filter infrarenal position

Diagnostic means

TAC scan of the chest on pulmonary angiography

Hemodynamic instability

HBPM

Suffering right heart chambers

Conclusion

High morbidity and mortality than with physical examination, H.C. and diagnostic tests can make an early and effective diagnosis

1761

1576

1846

600-100 B.C.

ayurveda medicine

French surgeon

A process of blood clotting function without identifying the mechanism

Giovanm Basttista

The presence of clots in the veins of patients suffering from sudden death

Endothelial damage

Rudolph Virchow

Describes a triad

Stasis

Hypercoagulability

Clots are carried through the bloodstream

transesophageal echocardiogram

60%

90%

Paradoxical movement of the interventricular septum

systolic dysfunction of the right ventricle

Pulmonary hypertension

venous filter

Patients contraindicated for anticoagulation

Patients with high risk of pathology recurrence

Floating emboli in the inferior vena cava