Post on 13-Aug-2020
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Références[18] Agnes Lee Md, Menaka Pai, Menno Huisman, Stephan Moll, and Walter Ageno. COVID-19 and Pulmonary Embolism: Frequently Asked Questions. 2020.*Voir précision à la fin de ce document
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COVID-19 and Pulmonary Embolism: Frequently Asked Questions (Version 2.0; last updated May 18, 2020
▸ In cases where there are no contraindications for therapeutic anticoagulation and there is no possibility of performing imaging studies to diagnose PE or DVT, empiric anticoagulation has been proposed in the following scenarios:▹ Intubated patients who develop sudden clinical and laboratory findings highly
consistent with PE, such as desaturation, tachycardia, increased CVP or PA wedge pressure, or evidence of right heart strain on echocardiogram, especially when CXR and/or markers of inflammation are stable or improving.
▹ Patients with physical findings consistent with thrombosis, such as superficial thrombophlebitis, peripheral ischemia or cyanosis, thrombosis of dialysis filters, tubing or catheters, or retiform purpura (branching lesions caused by thrombosis in the dermal and subcutaneous vasculature).
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COVID-19 and Pulmonary Embolism: Frequently Asked Questions (Version 2.0; last updated May 18, 2020
▸ In cases where there are no contraindications for therapeutic anticoagulation and there is no possibility of performing imaging studies to diagnose PE or DVT, empiric anticoagulation has been proposed in the following scenarios:▹ Patients with respiratory failure, particularly when D-dimer
and/or fibrinogen levels are very high, in whom PE or microvascular thrombosis is highly suspected and other causes are not identified (e.g., ARDS, fluid overload).
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