Pulmonary Embolism in Intensive Care Unit

Crit Care Clin. 2020 Jul;36(3):427-435. doi: 10.1016/j.ccc.2020.02.001. Epub 2020 May 11.

Abstract

Management of pulmonary embolism (PE) has become more complex due to the expanded role of catheter-based therapies, surgical thrombectomies, and cardiac assist technologies, such as right ventricular assist devices and extracorporeal support. Due to the heterogeneity of PE, a multidisciplinary team approach is necessary. The manifestation of PE response teams are in response to this complex need and similar to the proliferation of stroke, trauma, and rapid response teams. Intensive care units are an ideal location for formulating a comprehensive treatment plan that necessitates an interaction between multiple specialties. This article addresses the unique needs of critically ill patients with PE.

Keywords: Critical care (ICU); Intensive care unit; Massive pulmonary emboli; Mortality; Pulmonary embolism (PE); Pulmonary embolism response team (PERT); Submassive pulmonary emboli.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Critical Care / standards*
  • Female
  • Hospital Rapid Response Team / standards*
  • Humans
  • Intensive Care Units / standards*
  • Male
  • Middle Aged
  • Practice Guidelines as Topic*
  • Professional Role*
  • Pulmonary Embolism / physiopathology*
  • Pulmonary Embolism / therapy*