TY - JOUR
T1 - A 68-Year-Old Patient With Dyspnea and Hypoxemia After Total Hip Arthroplasty
AU - Tzilas, Vasilios
AU - Roussis, Ioannis
AU - Sakellaropoulou, Katianna
AU - Chrysikos, Serafeim
AU - Hillas, Georgios
AU - Ryu, Jay H.
N1 - Publisher Copyright:
© 2023 American College of Chest Physicians
PY - 2023/10
Y1 - 2023/10
N2 - Case Presentation: A 68-year-old patient with obesity (BMI, 4 7 kg/m2) was transferred to the ED of our hospital because of dyspnea and pronounced hypoxemia. The patient underwent total right hip arthroplasty in an outside hospital because of osteoarthritis; there was no history of trauma. After 48 h, she experienced dyspnea with severe hypoxemia. The next day she was transferred to our hospital. Her history was notable for arterial hypertension and depression, but not heart failure. Her medications included candesartan (16 mg once daily) and sertraline (100 mg once daily). Perioperatively, she received enoxaparin 4.000 International Units subcutaneously once daily. There was no family history of respiratory diseases. The patient currently smokes (50 pack-years) with no recent increase in her habit and denied vaping, alcohol consumption, illicit drug use, and any home or occupational exposures. Prior to surgery, the family of the patient reported that she maintained modest mobility despite her osteoarthritis and was able to fulfill her daily activities.
AB - Case Presentation: A 68-year-old patient with obesity (BMI, 4 7 kg/m2) was transferred to the ED of our hospital because of dyspnea and pronounced hypoxemia. The patient underwent total right hip arthroplasty in an outside hospital because of osteoarthritis; there was no history of trauma. After 48 h, she experienced dyspnea with severe hypoxemia. The next day she was transferred to our hospital. Her history was notable for arterial hypertension and depression, but not heart failure. Her medications included candesartan (16 mg once daily) and sertraline (100 mg once daily). Perioperatively, she received enoxaparin 4.000 International Units subcutaneously once daily. There was no family history of respiratory diseases. The patient currently smokes (50 pack-years) with no recent increase in her habit and denied vaping, alcohol consumption, illicit drug use, and any home or occupational exposures. Prior to surgery, the family of the patient reported that she maintained modest mobility despite her osteoarthritis and was able to fulfill her daily activities.
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U2 - 10.1016/j.chest.2023.04.046
DO - 10.1016/j.chest.2023.04.046
M3 - Article
C2 - 37805247
AN - SCOPUS:85173508469
SN - 0012-3692
VL - 164
SP - e107-e110
JO - Chest
JF - Chest
IS - 4
ER -