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Diving and Hyperbaric Medicine Mar 2021
Topics: Barotrauma; Breath Holding; Decompression Sickness; Diving; Embolism, Air; Humans
PubMed: 33761555
DOI: 10.28920/dhm51.1.124 -
Journal of Veterinary Internal Medicine Mar 2018Venous air embolism is a potentially life-threatening complication of IV catheter use in horses. Despite widespread anecdotal reports of their occurrence, few cases have...
BACKGROUND
Venous air embolism is a potentially life-threatening complication of IV catheter use in horses. Despite widespread anecdotal reports of their occurrence, few cases have been reported in the literature and the prognosis is currently unknown.
HYPOTHESIS/OBJECTIVES
Our objective was to describe the surrounding circumstances, clinical signs, treatment, progression, and outcome of venous air embolism in hospitalized horses.
ANIMALS
Thirty-two horses with acute onset of compatible clinical signs associated with IV catheter disconnection or damage.
METHODS
Multicenter retrospective study. Data extracted from clinical records included signalment, presenting complaint, catheter details, clinical signs, treatments, and outcome.
RESULTS
Most cases resulted from extension set disconnection occurring within approximately 24 hours after catheter placement. In fewer horses, extension set damage was cited as a cause. Common clinical signs included tachycardia, tachypnea, recumbency, muscle fasciculations and agitation, with abnormal behavior including kicking and flank biting. Less commonly, pathological arrhythmias or more severe neurologic signs, including blindness and seizures, were noted. Progression was unpredictable, with some affected horses developing delayed-onset neurologic signs. Mortality was 6/32 (19%), including 2 cases of sudden death and other horses euthanized because of persistent neurologic deficits. Negative outcomes were more common in horses with recorded blindness, sweating or recumbency, but blindness resolved in 5/8 affected horses.
CONCLUSIONS AND CLINICAL IMPORTANCE
The prognosis for resolution of clinical signs after air embolism is fair, but permanent neurologic deficits or pathologic cardiac arrhythmias can arise. Unpredictable progression warrants close monitoring. Systematic clinic-based surveillance could provide additional useful information to aid prevention.
Topics: Animals; Arrhythmias, Cardiac; Blindness; Embolism, Air; Horse Diseases; Horses; Nervous System Diseases; Retrospective Studies; Seizures; Vascular Access Devices
PubMed: 29460300
DOI: 10.1111/jvim.15057 -
Internal Medicine (Tokyo, Japan) 2017A 51-year-old man was admitted to have a nodule evaluated using chest computed tomography (CT). Shortly after curetting and transbronchial biopsies via bronchoscopy,...
A 51-year-old man was admitted to have a nodule evaluated using chest computed tomography (CT). Shortly after curetting and transbronchial biopsies via bronchoscopy, hypotension, bradycardia, unconsciousness, and left hemiplegia appeared and resolved within one hour. Head CT showed cerebral air embolism. The following day, lower left quadrant pain developed. Pneumatosis intestinalis on abdominal CT and elevation of creatine kinase and troponin T levels indicated air embolism in the mesenteric and coronary arteries. Some reports have documented cerebral air embolism alone after bronchoscopy; however, we should consider systemic air embolism, even when encountering a patient without specific symptoms related to any organ.
Topics: Bronchoscopy; Cerebral Arteries; Coronary Vessels; Embolism, Air; Humans; Male; Mesenteric Arteries; Middle Aged; Pneumatosis Cystoides Intestinalis; Tomography, X-Ray Computed
PubMed: 28381749
DOI: 10.2169/internalmedicine.56.7836 -
Arquivos de Neuro-psiquiatria Dec 2021
Topics: Embolism, Air; Humans; Mesenteric Ischemia; Tomography, X-Ray Computed
PubMed: 34550176
DOI: 10.1590/0004-282X-ANP-2021-0285 -
Anaesthesia Jan 1980
Topics: Catheterization; Embolism, Air; Female; Humans
PubMed: 7396127
DOI: 10.1111/j.1365-2044.1980.tb03750.x -
Anesthesiology Nov 2007
Topics: Echocardiography, Transesophageal; Embolism, Air; Foramen Ovale, Patent; Humans; Intraoperative Complications; Monitoring, Intraoperative; Posture; Risk Factors; Terminology as Topic
PubMed: 18073566
DOI: 10.1097/01.anes.0000287531.35507.89 -
Internal Medicine (Tokyo, Japan) May 2023
Topics: Humans; Embolism, Air; Biopsy; Biopsy, Needle; Lung; Electrocardiography
PubMed: 36198592
DOI: 10.2169/internalmedicine.0292-22 -
Annals of Surgery Nov 1976
Topics: Animals; Cardiac Catheterization; Embolism, Air; Humans
PubMed: 984938
DOI: 10.1097/00000658-197611000-00035 -
British Medical Journal Jun 1979
Topics: Catheterization; Embolism, Air; Humans
PubMed: 466080
DOI: 10.1136/bmj.1.6176.1489-b -
British Medical Journal Jun 1979
Topics: Catheterization; Embolism, Air; Humans; Parenteral Nutrition
PubMed: 111757
DOI: 10.1136/bmj.1.6178.1630