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...

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Veröffentlicht in:Brazilian journal of anesthesiology (Elsevier) 2024, Vol.74 (1), p.744192-744192
Hauptverfasser: Mendes, Eunice, Vaz Gomes, Mariana, Carreira, Cl Udia, Gon Alves, N Ídia, Ribeiro, Ana Filipa
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container_title Brazilian journal of anesthesiology (Elsevier)
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creator Mendes, Eunice
Vaz Gomes, Mariana
Carreira, Cl Udia
Gon Alves, N Ídia
Ribeiro, Ana Filipa
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.
doi_str_mv 10.1016/j.bjane.2021.05.015
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title Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report
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