Recent Advances in Management of Pulmonary Embolism

Abstract

Thanks to the improvements achieved in the risk stratification of patients with PE, a better therapeutic approach is now recommended from diagnosis algorithm and indication to admission in ICU to indication of thrombolysis and general hemodynamic support in patients with shock. The initial approach to patients with suspected pulmonary embolism (PE) should focus upon stabilizing the patient while clinical evaluation and definitive diagnostic testing is ongoing. Supplemental oxygen should be administered to target an oxygen saturation ≥ 90 percent. Severe hypoxemia, hemodynamic collapse, or respiratory failure should prompt consideration of mechanical ventilation. For patients with suspected PE who are