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J Pediatr Intensive Care 2019; 08(04): 247-250
DOI: 10.1055/s-0039-1694018
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Massive Pulmonary Embolism after a Short Episode of Physical Restraint in an Adolescent Psychiatric Patient

Alexander Leibold
1   KUNO University Children's Hospital, Regensburg, Germany
,
Michael Melter
1   KUNO University Children's Hospital, Regensburg, Germany
,
Christian Doerfler
1   KUNO University Children's Hospital, Regensburg, Germany
,
Samra Alikadic
1   KUNO University Children's Hospital, Regensburg, Germany
,
Markus Zimmermann
2   Emergency Unit, University Medical Center Regensburg, Regensburg, Germany
,
Frank Hanses
2   Emergency Unit, University Medical Center Regensburg, Regensburg, Germany
,
Robert Zant 
1   KUNO University Children's Hospital, Regensburg, Germany
3   Department of Pediatric Cardiology, University Hospital Erlangen-Nuernberg, Erlangen, Germany
› Author Affiliations
Further Information

Publication History

01 April 2019

26 June 2019

Publication Date:
01 August 2019 (online)

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Abstract

Medical restraints, when used for short periods of time, can pose additional risk for deep vein thrombosis in adolescent psychiatric patients. The problem is often unrecognized, and there is a lack of awareness of this potential risk. However, as associated major adverse events may result in fatal outcomes, an individual patient's risk for deep vein thrombosis should be assessed and prophylactic anticoagulation may be indicated.

Keywords

deep vein thrombosis - anticoagulation - childhood and adolescent psychiatry

Ethics Statement

Informed consent was obtained from the patient and her parents for publication of this report, including the accompanying images.


 

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