Signs of massive intraoperative pulmonary embolism with extensive invasivemonitoring

A 71-year-old patient suffered a massive pulmonary tumor embolism during re moval of a renal carcinoma. He had extensive invasive monitoring, and the d ata were stored for later analysis. This shows that most of the known signs of pulmonary embolism were present in the tracings. It is discussed how no ne of them alone was sufficient for clinical diagnosis, but the comparison of several simultaneous variables together may be of great help. This repor t shows also the importance of the data-storing devices in the anesthesia m onitors to make these comparisons possible in quickly changing emergency si tuations.