false
Catalog
Pulmonary Embolism Management: Unraveling Controve ...
Final PG Course_When to reperfuse_ARS_RD
Final PG Course_When to reperfuse_ARS_RD
Back to course
Pdf Summary
The document is focused on the management and decision-making processes involved in treating patients with acute pulmonary embolism (PE). It is a guideline composed by Dr. Parth Rali, a specialist in pulmonary vascular disease, outlining steps for determining when and how to apply reperfusion therapies for PE patients.<br /><br />The BACS score is highlighted as a clinical prediction tool to estimate the risk of major bleeding complications after thrombolysis in PE patients, while the PE-CH Score is designed to assess the risk of intracranial hemorrhage in patients treated with thrombolytics. Understanding these scores is crucial for guiding treatment decisions.<br /><br />The document outlines a step-by-step approach:<br /><br />1. **Patient Assessment**: Distinguish whether the patient has PE only or PE with systemic comorbidities.<br /> <br />2. **Clot Location**: Identify if there is a clot in transit or other related clots, like proximal deep vein thrombosis (DVT) or clots in the inferior vena cava (IVC).<br /><br />3. **Biomarkers and Testing**: Utilize various biomarkers like lactic acid, neutrophilic/lymphocyte ratio, and composite shock scores to evaluate the severity beyond standard classification. Imaging and oxygen requirements also play a crucial role in the assessment.<br /><br />4. **Bleeding Risk Evaluation**: Assessing bleeding risks, both absolute or relative, is essential, considering factors such as the BACS and PE-CH scores.<br /><br />5. **Logistical Considerations**: Consider the clinical setup, transfer logistics, and whether a committed Pulmonary Embolism Response Team (PERT) is available.<br /><br />6. **Goals and Expectations of Reperfusion**: Define clear goals, whether they relate to saving the right ventricle, reducing mortality, or optimizing recovery, especially in young, healthy patients.<br /><br />Statistics emphasize the impact of venous thromboembolism (VTE), with significant mortality rates worldwide, highlighting the critical need for effective management strategies.<br /><br />Understanding these protocols can guide healthcare professionals in making informed decisions regarding the treatment of PE, focusing on individual patient needs and circumstances while weighing the risks and benefits of intervention strategies.
Keywords
acute pulmonary embolism
management
decision-making
reperfusion therapies
BACS score
PE-CH Score
patient assessment
biomarkers
bleeding risk evaluation
Pulmonary Embolism Response Team
©
|
American College of Chest Physicians
®
×
Please select your language
1
English