Intraoperative Pulmonary Embolism: A Case Report and Management Approach in Orthopedic Surgery

Dr. Vinayak Panchgar, Dr. Shivaraddi G Bhandi, Dr. Shreyas P.

Abstract: Pulmonary embolism (PE) is a life - threatening complication that can occur during surgical procedures, particularly in orthopedic surgeries. This case report describes a 23 - year - old male who developed intraoperative pulmonary embolism during tibial intramedullary nailing under spinal anesthesia. The patient presented with sudden hemodynamic collapse, which was promptly managed with cardiopulmonary resuscitation (CPR), ventilation, and medical intervention following ACLS protocol. Diagnosis was confirmed through CT pulmonary angiography (CTPA), and the patient was treated with anticoagulation therapy and thrombolytics. Early recognition and immediate management were critical in ensuring a favorable outcome. This case highlights the importance of vigilance in anesthetic management to prevent fatal complications.

Keywords: Pulmonary embolism, orthopedic surgery, intraoperative complications, anticoagulation therapy, anesthesia management

How to Cite?: Dr. Vinayak Panchgar, Dr. Shivaraddi G Bhandi, Dr. Shreyas P., "Intraoperative Pulmonary Embolism: A Case Report and Management Approach in Orthopedic Surgery", Volume 14 Issue 2, February 2025, International Journal of Science and Research (IJSR), Pages: 846-847, https://www.ijsr.net/getabstract.php?paperid=SR25213201232, DOI: https://dx.doi.org/10.21275/SR25213201232