Intravenous anesthesia


Anesthesia and Pain Medicine. 2006 June 10(2): 69-74
ⓒ Korean Society for Intravenous Anesthesia
Pulmonary Thromboembolism Associated with Leg-squeezing in a Femur Surgery Patient, A case report
Deok-Kyu Kim, M.D.1, Sang-Kyi Lee, M.D.1, 2, and Seong-Hoon Ko, M.D.1
1Department of Anesthesiology and Pain Medicine and 2Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea

Intraoperative pulmonary thromboembolism (PTE) is rare, but is nevertheless one of the important causes of morbidity and mortality in patients undergoing surgery. However the detection of PTE is difficult because it\\\'s clinical symptoms and signs are nonspecific during surgery under general anesthesia. We experienced a patient of PTE, which suddenly developed a decreased blood pressure and arterial oxygen tension during the fractured leg-squeezing with Esmarch bandage in a femur surgery. The patient was diagnosed PTE with post-operative spiral computed tomography evaluation.
Key words : pulmonary thromboembolism, tourniquet.
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