Paradoxical embolism of fat, thrombus and bone marrow during orthopaedic surgery can be associated with confusion, stroke and death. A patent foramen ovale (PFO) is the most common venousto arterial circulation shunt (v-aCS) permitting paradoxical embolism. Transcranial Doppier ultrasound (TCD) is capable of detecting emboli during surgery and quantifying a shunt but the reproducibility of this technique and the association between paradoxical embolism and organ dysfunction is unclear.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:493675 |
| Date | January 2007 |
| Creators | Daly, Kevin J. |
| Publisher | University of Manchester |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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