Chapter 15. Pulmonary Embolism1

  1. Errol R. Norwitz MD, PhD Professor Director1,
  2. Michael A. Belfort MD, PhD Professor Director2,3,
  3. George R. Saade MD Professor4 and
  4. Hugh Miller MD5

Published Online: 6 MAY 2010

DOI: 10.1002/9781444314489.ch15

Obstetric Clinical Algorithms: Management and Evidence

Obstetric Clinical Algorithms: Management and Evidence

How to Cite

Norwitz, E. R., Belfort, M. A., Saade, G. R. and Miller, H. (2010) Pulmonary Embolism1, in Obstetric Clinical Algorithms: Management and Evidence, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314489.ch15

Author Information

  1. 1

    Department of Obstetrics, Gynecology & Reproductive Sciences, Yale-New Haven Hospital, New Haven, CT, USA

  2. 2

    Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA

  3. 3

    Perinatal Research and Fetal Therapy Program, HCA Healthcare, Nashville, TN, USA

  4. 4

    Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA

  5. 5

    Department of Obstetrics and Gynecology, University of Arizona, Tucson, AZ, USA

Publication History

  1. Published Online: 6 MAY 2010
  2. Published Print: 23 APR 2010

ISBN Information

Print ISBN: 9781405181112

Online ISBN: 9781444314489

SEARCH

Keywords:

  • pulmonary embolism (PE);
  • VTE - maternal mortality in Western world;
  • symptoms of PE - shortness of breath, pleuritic chest pain, cough and/or hemoptysis;
  • physical signs suggestive of PE - low-grade fever, tachypnea, tachycardia;
  • laboratory tests - acidosis and elevated A-a gradient on ABG analysis;
  • differential diagnosis of PE - pneumonia, pneumothorax, congestive cardiac failure;
  • high clinical suspicion for acute PE - therapeutic anticoagulation;
  • diagnosis of DVT - noninvasively confirmed by venous ultrasonography;
  • therapeutic unfractionated heparin (UFH) - treatment of choice for acute PE