Anesthetic management of an elderly COVID-19 patient with pulmonary thromboembolism for hip surgery - A case report.

Min Hee Heo, Hwan Yong Choi, Ji Yeon Kim, Kyung Woo Kim, Sang Il Lee, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Jun Hyun Kim
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引用次数: 1

Abstract

Background: COVID-19 and delayed hip surgery are well-known risk factors for thromboembolism in elderly patients.

Case: We report the case of an 88-year-old female patient with COVID-19 and pulmonary thromboembolism (PTE) who underwent delayed hip surgery 21 days after the injury. Heparinization and inferior vena cava filters were used to treat and prevent PTE. Transesophageal echocardiography and extracorporeal membrane oxygenation (ECMO) sheaths were inserted as a precaution in case of emergencies during surgery; the procedure was performed without any specific event.

Conclusions: COVID-19-infected patients suffering from a hip fracture have a high risk of thromboembolism, and therefore, require utmost attention for appropriate evaluation and prevention.

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老年COVID-19合并肺血栓栓塞髋部手术患者的麻醉处理-1例报告。
背景:COVID-19和延迟髋关节手术是众所周知的老年患者血栓栓塞的危险因素。病例:我们报告了一例88岁的女性COVID-19合并肺血栓栓塞(PTE)患者,她在受伤21天后接受了延迟髋关节手术。采用肝素化和下腔静脉滤器治疗和预防PTE,术中紧急情况下插入经食管超声心动图和体外膜氧合(ECMO)鞘;整个过程没有发生任何特殊事件。结论:感染covid -19的髋部骨折患者血栓栓塞风险高,需要高度重视,进行适当的评估和预防。
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