A management of a pulmonary thromboembolism patient under monitoring of VigileoTM monitor (pulse contour cardiac output monitor) : A case report

Shin, Hwang Cheol; Lee, Sang Kyi

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2009;4(1):19-23.
Published online January 30, 2009.

A management of a pulmonary thromboembolism patient under monitoring of VigileoTM monitor (pulse contour cardiac output monitor) : A case report

Hwang Cheol Shin, Sang Kyi Lee

¹Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. leesk@chonbuk.ac.kr
²Institute for Medical Sciences, Chonbuk National University Medical School, Jeonju, Korea.

Abstract

Pulmonary embolism (PE) is an uncommon but, highly lethal condition that is a leading cause of death. However, prompt diagnosis and treatment can dramatically reduce the mortality rate and morbidity of PE. Unfortunately, the diagnosis is often missed because of vague and nonspecific symptoms. We report a case of pulmonary thromboembolism (PTE) which was developed during surgical preparation for pelvic bone and sacro-iliac joint reduction surgery after induction of general anesthesia. We monitored and treated efficiently the PTE patient under monitoring of VigileoTM monitor (pulse contour cardiac output monitor) in operating room and intensive care unit. After complete resolving of PTE, the surgery was reperformed with VigileoTM monitoring without any complications. We suggest that the VigileoTM monitor is simple and minimal invasive method to monitor the hemodynamic status in management of PTE patient.

Key Words: hemodynamic, pulmonary embolism, pulse contour cardiac output