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Obstetrics and Gynecology Feb 2008
Topics: Embolism, Air; Female; Humans; Insufflation; Pregnancy; Pregnancy Complications, Cardiovascular; Sexual Behavior
PubMed: 18238993
DOI: 10.1097/01.AOG.0000300715.35274.13 -
BMC Pulmonary Medicine Jul 2021Endobronchial electrocautery is a common and safe therapeutic endoscopic treatment for malignant airway obstruction. Cerebral arterial air embolism (CAAE) is a rare but... (Review)
Review
BACKGROUND
Endobronchial electrocautery is a common and safe therapeutic endoscopic treatment for malignant airway obstruction. Cerebral arterial air embolism (CAAE) is a rare but potentially fatal complication of endobronchial electrocautery.
CASE PRESENTATION
We present the first case of cerebral arterial air embolism after endobronchial electrocautery. A 56-year-old male with a pulmonary tumour in the right upper lobe received repeated endobronchial electrocautery. During the procedure, he experienced unresponsiveness, hypoxemia and bradycardia, and he developed tetraplegia. Brain computed tomography showed several cerebral arterial air emboli with low-density spots in the right frontal lobe. He received hyperbaric oxygen therapy with almost full recovery, except for residual left-sided weakness.
CONCLUSIONS
General physicians should realize that CAAE may be a possible complication of endobronchial electrocautery. Several measures, including avoiding positive pressure, lowering ventilatory pressures if possible, avoiding advancing the bronchoscope to occlude the bronchus and using the non-contact technique, should be used to prevent this devastating complication.
Topics: Bronchoscopy; Cerebral Arteries; Electrocoagulation; Embolism, Air; Humans; Hyperbaric Oxygenation; Lung Neoplasms; Male; Middle Aged; Tomography, X-Ray Computed
PubMed: 34247608
DOI: 10.1186/s12890-021-01580-w -
Journal of the Neurological Sciences May 2017Systemic air embolism (SAE) is a rare but serious complication following endoscopic procedures. It may occur with or without direct vessel injury. The aim of this work... (Review)
Review
INTRODUCTION
Systemic air embolism (SAE) is a rare but serious complication following endoscopic procedures. It may occur with or without direct vessel injury. The aim of this work is to review cases of SAE following endoscopy without proven vessel injury.
METHODS
In this systematic review PubMed database was screened for SAE following endoscopy from 1990 to 2015. Only cases without proven major vessel injury were included in the analysis. Including one case of SAE after colonoscopy from our hospital the analysis comprised 40 cases.
RESULTS
60% of patients underwent ERCP, 33% gastroscopy and the remaining 7% other endoscopic procedures. Among patients suffering from SAE the majority had cerebral embolism (73%). In 46% of documented echocardiography a patent foramen ovale (PFO) has been confirmed as mechanism of paradoxical air embolism. Therapeutic approaches comprised most frequently hyperbaric oxygenation. In 35% of cases advanced life support was necessary whereas only 55% of patients survived SAE in total.
CONCLUSION
SAE is a serious complication of endoscopic procedures with high morbidity and mortality. In patients with present PFO high awareness should be paid to informed consent for the risk of SAE, especially stroke. Cautiousness with sedation is necessary in those patients not to delay clinical recognition of neurological SAE symptoms.
Topics: Aged; Embolism, Air; Endoscopy; Humans; Male; Postoperative Complications
PubMed: 28431636
DOI: 10.1016/j.jns.2017.03.009 -
Tidsskrift For Den Norske Laegeforening... Jan 2019
Topics: Aged; Brachiocephalic Veins; Embolism, Air; Female; Humans; Patient Positioning; Tomography, X-Ray Computed
PubMed: 30644669
DOI: 10.4045/tidsskr.18.0017 -
The Journal of the American Association... May 1997
Topics: Embolism, Air; Female; Humans; Laparoscopy; Uterus
PubMed: 9154776
DOI: 10.1016/s1074-3804(05)80218-x -
Medicina Intensiva Aug 2023
Topics: Humans; Embolism, Air; Catheterization, Central Venous; Device Removal
PubMed: 37045696
DOI: 10.1016/j.medine.2023.03.012 -
Perfusion Nov 1995
Review
Topics: Cardiopulmonary Bypass; Death, Sudden; Embolism, Air; Hemodynamics; Humans; Incidence
PubMed: 8747895
DOI: 10.1177/026765919501000602 -
Journal of Infusion Nursing : the... 2013Vascular air embolism as a medically induced complication may be associated with numerous treatments and therapies. In infusion therapy, the risk is associated with...
Vascular air embolism as a medically induced complication may be associated with numerous treatments and therapies. In infusion therapy, the risk is associated with venous and arterial catheterization as well as various other invasive procedures and much of the equipment used for them. The manner of air entry and the presentation of symptoms may vary greatly. Appropriate treatment options are dependent on air entry routes. Nurses need to be aware of the common and seldom-considered causes of air embolism to be able to guard against this complication, yet adequately support the patient if it occurs.
Topics: Adult; Embolism, Air; Female; Humans; Infant; Infant, Newborn; Infusions, Intravenous; Male; Middle Aged
PubMed: 23271149
DOI: 10.1097/NAN.0b013e318279a804 -
Archives of Pathology & Laboratory... May 1989Air emboli in the chambers of the right side of the heart and in the pulmonary artery were documented in 16 autopsies representing shotgun and gunshot wounds of the... (Review)
Review
Air emboli in the chambers of the right side of the heart and in the pulmonary artery were documented in 16 autopsies representing shotgun and gunshot wounds of the head, traffic fatalities with head trauma, and one neck incision. The pathology of venous air embolism and its interpretation in the context of death investigation are discussed.
Topics: Adolescent; Adult; Aged; Arteries; Autopsy; Craniocerebral Trauma; Embolism, Air; Humans; Male; Neck Injuries; Veins
PubMed: 2653272
DOI: No ID Found -
Journal of Clinical Anesthesia Nov 2021
Topics: Catheterization, Central Venous; Embolism, Air; Face; Humans
PubMed: 34144499
DOI: 10.1016/j.jclinane.2021.110384