Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report
Platypnea-orthodeoxia syndrome (POS) is a rare condition of positional hypoxemia and dyspnea. The following is a case of hypoxemia for no obvious reason in the perioperative scenario. A 70-year-old male patient was submitted to a radical prostatectomy. On several occasions after anesthetic induction...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421002384 |
| _version_ | 1797306918445776896 |
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| author | Eunice Mendes Mariana Vaz Gomes Cl..udia Carreira N.ídia Gon..alves Ana Filipa Ribeiro |
| author_facet | Eunice Mendes Mariana Vaz Gomes Cl..udia Carreira N.ídia Gon..alves Ana Filipa Ribeiro |
| author_sort | Eunice Mendes |
| collection | DOAJ |
| description | Platypnea-orthodeoxia syndrome (POS) is a rare condition of positional hypoxemia and dyspnea. The following is a case of hypoxemia for no obvious reason in the perioperative scenario. A 70-year-old male patient was submitted to a radical prostatectomy. On several occasions after anesthetic induction, peripheral oxygen saturation decreased without any understandable cause. In the postanesthesia care unit, severe hypoxemia occurred in the upright position, oddly correcting with recumbency. An echocardiography showed a right-to-left intracardiac shunt through a patent foramen ovale with no pulmonary hypertension, establishing POS. Achieving this diagnosis required a broad workup with a high degree of suspicion. |
| first_indexed | 2024-03-08T00:49:47Z |
| format | Article |
| id | doaj.art-3753148d66aa455b8f4a3e9f73f2fdaa |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-03-08T00:49:47Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-3753148d66aa455b8f4a3e9f73f2fdaa2024-02-15T05:22:54ZengElsevierBrazilian Journal of Anesthesiology0104-00142024-01-01741744192Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case reportEunice Mendes0Mariana Vaz Gomes1Cl..udia Carreira2N.ídia Gon..alves3Ana Filipa Ribeiro4Corresponding author.; Centro Hospitalar e Universit..rio de Coimbra, Servi..o de Anestesiologia, Coimbra, PortugalCentro Hospitalar e Universit..rio de Coimbra, Servi..o de Anestesiologia, Coimbra, PortugalCentro Hospitalar e Universit..rio de Coimbra, Servi..o de Anestesiologia, Coimbra, PortugalCentro Hospitalar e Universit..rio de Coimbra, Servi..o de Anestesiologia, Coimbra, PortugalCentro Hospitalar e Universit..rio de Coimbra, Servi..o de Anestesiologia, Coimbra, PortugalPlatypnea-orthodeoxia syndrome (POS) is a rare condition of positional hypoxemia and dyspnea. The following is a case of hypoxemia for no obvious reason in the perioperative scenario. A 70-year-old male patient was submitted to a radical prostatectomy. On several occasions after anesthetic induction, peripheral oxygen saturation decreased without any understandable cause. In the postanesthesia care unit, severe hypoxemia occurred in the upright position, oddly correcting with recumbency. An echocardiography showed a right-to-left intracardiac shunt through a patent foramen ovale with no pulmonary hypertension, establishing POS. Achieving this diagnosis required a broad workup with a high degree of suspicion.http://www.sciencedirect.com/science/article/pii/S0104001421002384DyspneaHypoxiaHypotensionPerioperative periodPatent Foramen OvaleCase report |
| spellingShingle | Eunice Mendes Mariana Vaz Gomes Cl..udia Carreira N.ídia Gon..alves Ana Filipa Ribeiro Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report Brazilian Journal of Anesthesiology Dyspnea Hypoxia Hypotension Perioperative period Patent Foramen Ovale Case report |
| title | Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report |
| title_full | Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report |
| title_fullStr | Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report |
| title_full_unstemmed | Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report |
| title_short | Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report |
| title_sort | platypnea orthodeoxia syndrome an intriguing perioperative hypoxemia case report |
| topic | Dyspnea Hypoxia Hypotension Perioperative period Patent Foramen Ovale Case report |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421002384 |
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