Pulmonary embolism in the critically ill: strategies for prevention and treatment.
Publication/Presentation Date
11-1-1994
Abstract
Most ICU patients are at high risk for developing deep venous thrombosis; thus, they should be considered candidates for prophylaxis against pulmonary emboli (PE). If early ambulation is not an option, give low-dose heparin or apply lower extremity pneumatic compression. When PE cannot be prevented, rapid treatment is mandatory. Inotropic agents can be used to improve right ventricular contractility; however, the role of volume loading for augmenting preload is controversial. Heparin is the first-line therapy for halting ongoing thrombosis; administer a 5,000- to 10,000-U bolus, followed by a continuous infusion of about 35,000 U/d. Thrombolysis, embolectomy, and occlusive devices are other therapeutic options.
Volume
9
Issue
11
First Page
988
Last Page
991
ISSN
1040-0257
Published In/Presented At
Cowen, J., & Kelley, M. A. (1994). Pulmonary embolism in the critically ill: strategies for prevention and treatment. The Journal of critical illness, 9(11), 988–991.
Disciplines
Medicine and Health Sciences
PubMedID
10150698
Department(s)
Department of Medicine
Document Type
Article