Pulmonology Book

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Pulmonary Embolism ManagementAka: PE Management

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  1. See Also
    1. Pulmonary Embolism
  2. Indications
    1. Deep Vein Thrombosis (DVT)
    2. Pulmonary Embolism (PE)
  3. Management: General Approach
    1. Inpatient Anticoagulation until therapeutic
    2. Consider Thrombophilia work-up
      1. See Thrombophilia
      2. Reserve blood for tests prior to Anticoagulation
    3. Supplemental Oxygen
    4. Bed rest is not necessary
      1. Does not prevent new or fatal PE of bleeding
      2. Trujillo-Santos (2005) 127:1631
  4. Anticoagulation
    1. See Anticoagulation in Thromboembolism
  5. Management: Severe cardiovascular compromise
    1. Anticoagulation as above
    2. Surgical embolectomy
      1. Lower mortality and complications than Thrombolysis
      2. Gulba (1994) Lancet 343:576
    3. Thrombolytic Therapy
      1. See Thrombolysis in Massive Pulmonary Embolism
  6. Prevention
    1. See DVT Prevention
    2. See DVT Prophylaxis
    3. See DVT Prevention in Travelers
    4. Inferior Vena Cava Filter Indications
      1. Pulmonary Embolism despite Anticoagulation
      2. Contraindication to Anticoagulation

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