Air embolism due to pulmonary barotrauma in a patient undergoing cesarean section

Sadan, Oscar; Adler, M.; Ezra, S.; Zakut, Haim

doi:10.3109/00016349109007171

Cited by 7 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In patients with cerebral air embolism, immediate hyperbaric oxygen therapy was reported to decrease the mortality rate to 7% [15]. However, delayed hyperbaric oxygen therapy may be also effective for survival and neurological recovery, even after many hours have elapsed, because air bubbles have been demonstrated up to 48 h after the initial event [16].…”

Section: Discussionmentioning

confidence: 99%

Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy

Ohashi

Endoh

Honda

et al. 2001

Journal of Anesthesia

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy

Ohashi

Endoh

Honda

et al. 2001

Journal of Anesthesia

View full text Add to dashboard Cite

“…Once the patient has stabilised, further imaging of the whole thorax as well as the brain can be performed to identify systemic air embolization. The definitive treatment of cerebral air embolism is hyperbaric oxygen (HBOT) [ 10 ]. It provides 100% oxygen at high pressure.…”

Section: Discussionmentioning

confidence: 99%

Delayed Presentation of Air Embolism Within Cerebral Arteries Following Computed Tomography-Guided Lung Biopsy

Yang¹,

Ong²,

Loh³

et al. 2023

Cureus

View full text Add to dashboard Cite

Computed tomography (CT)-guided percutaneous core needle biopsy of the lung is a frequently performed interventional radiological procedure. Most complications are minor and self-resolving. However, a rare but potentially fatal complication is that of systemic air embolism, especially when to the cerebral or coronary arteries. This study reports a case of delayed (12 hours after initial biopsy) air embolism in the cerebral arteries that resulted from an otherwise uncomplicated biopsy of a lung nodule. It is vital for early diagnostic confirmation and appropriate treatment if possible, though maximal efforts at prevention are still recommended.

show abstract

“…Larger emboli, in the size of millilitres, would require even longer resorption time if left untreated, and air bubbles have been observed to persist within the vasculature for more than 48 h [20]. The molar flux of any permeating ideal gas species present in blood and tissues obeys Fick’s first law of diffusion [21,22] whereby each gas will have a flux through the surface area of the gas emboli, driven by the partial pressure difference between the inside of the emboli and surrounding tissue and blood.…”

Section: Discussionmentioning

confidence: 99%

Resuscitation by hyperbaric exposure from a venous gas emboli following laparoscopic surgery

Kjeld

Hansen

Holler

et al. 2012

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

Venous gas embolism is common after laparoscopic surgery but is only rarely of clinical relevance. We present a 52 year old woman undergoing laparoscopic treatment for liver cysts, who also underwent cholecystectomy. She was successfully extubated. However, after a few minutes she developed cardiac arrest due to a venous carbon dioxide (CO2) embolism as identified by transthoracic echocardiography and aspiration of approximately 7 ml of gas from a central venous catheter. She was resuscitated and subsequently treated with hyperbaric oxygen to reduce the size of remaining gas bubbles. Subsequently the patient developed one more episode of cardiac arrest but still made a full recovery. The courses of events indicate that bubbles had persisted in the circulation for a prolonged period. We speculate whether insufficient CO2 flushing of the laparoscopic tubing, causing air to enter the peritoneal cavity, could have contributed to the formation of the intravascular gas emboli. We conclude that persistent resuscitation followed by hyperbaric oxygen treatment after venous gas emboli contributed to the elimination of intravascular bubbles and the favourable outcome for the patient.

show abstract

Air embolism due to pulmonary barotrauma in a patient undergoing cesarean section

Cited by 7 publications

References 8 publications

Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy

Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy

Delayed Presentation of Air Embolism Within Cerebral Arteries Following Computed Tomography-Guided Lung Biopsy

Resuscitation by hyperbaric exposure from a venous gas emboli following laparoscopic surgery

Contact Info

Product

Resources

About