ICU SAQs · Obstetric critical care
Pulmonary embolism in pregnancy — the management
A CICM Second-Part SAQ on the PE in the pregnancy — the V/Q scan (the D-dimer unreliable), the LMWH (the AVOID the warfarin).
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Prompt
A woman at 34 weeks gestation presents with acute dyspnoea, pleuritic chest pain and a swollen left leg. Outline the diagnostic approach and the management.
Question
A woman at 34 weeks gestation presents with acute dyspnoea, pleuritic chest pain and a swollen left leg. Outline the diagnostic approach and the management.
[5]References4ShowHide
- [2]Bates SM, et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism in pregnancy. Blood Advances, 2018.PMID 30482767
- [3]Rodriguez D, Jerjes-Sanchez C, Fonseca S, et al. Thrombolysis in massive and submassive pulmonary embolism during pregnancy. Journal of Thrombosis and Thrombolysis, 2020.PMID 32347509
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [5]Bates SM, Greer IA, Middeldorp S, et al. VTE, thrombophilia, antithrombotic therapy, and pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines Chest, 2012.PMID 22315276