High and intermediate risk pulmonary embolism in the ICU. Intensive care medicine Millington, S. J., Aissaoui, N., Bowcock, E., Brodie, D., Burns, K. E., Douflé, G., Haddad, F., Lahm, T., Piazza, G., Sanchez, O., Savale, L., Vieillard-Baron, A. 2023

Abstract

Pulmonary embolism (PE) is a common and important medical emergency, encountered by clinicians across all acute care specialties. PE is a relatively uncommon cause of direct admission to the intensive care unit (ICU), but these patients are at high risk of death. More commonly, patients admitted to ICU develop PE as a complication of an unrelated acute illness. This paper reviews the epidemiology, diagnosis, risk stratification, and particularly the management of PE from a critical care perspective. Issues around prevention, anticoagulation, fibrinolysis, catheter-based techniques, surgical embolectomy, and extracorporeal support are discussed.

View details for DOI 10.1007/s00134-023-07275-6

View details for PubMedID 38112771

View details for PubMedCentralID 5804676