Comparative incidence of venous air embolism and associated hypotension in adults and children operated for neurosurgery in the sitting position

Bithal, Parmod K.; Pandia, Mihir Prakash; Dash, H. H.; Chouhan, Ravindra Singh; Mohanty, B.; Padhy, Narmada

doi:10.1097/00003643-200407000-00003

Cited by 52 publications

(15 citation statements)

References 19 publications

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“…This is comparable to reports by other authors. 4,5,[10][11][12] However, it is much less than reported by Black 7,[13][14][15] However, in all these studies, precordial Doppler ultrasound and TEE were used for detection of VAE, which are highly sensitive; whereas the mainstay of monitoring in our study was EtCO 2 . The comparable incidence of VAE found in the studies by Muley (17.2%) and Bithal (22%) are due to monitored EtCO 2 to detect VAE.…”

Section: Discussionmentioning

confidence: 80%

Complications related to positioning in posterior fossa craniectomy

Rath

Bithal

Chaturvedi

et al. 2007

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 80%

Complications related to positioning in posterior fossa craniectomy

Rath

Bithal

Chaturvedi

et al. 2007

Journal of Clinical Neuroscience

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“…The incidence of VAE overall in neurological procedures that are performed in the seated position has been estimated between 9 and 76% [16][17][18][19][20][21][22][23][24] . These studies, however, did not focus specifically on DBS, and in general involved larger craniotomies.…”

Section: Discussionmentioning

confidence: 99%

Venous Air Embolism in Deep Brain Stimulation

Hooper

Okun

Foote³

et al. 2008

Stereotact Funct Neurosurg

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Background/Aims: During the placement of electrodes for deep brain stimulation (DBS), patients are commonly in a seated position, awake, and spontaneously breathing. Air may be entrained through bone or dural veins causing venous air emboli (VAE) and this phenomenon can result in significant hemodynamic changes. Although VAEs have been described in many types of neurosurgical procedures, their incidence during DBS surgery is unknown. Methods: Following approval from the Institutional Review Board, the University of Florida Movement Disorders Center database comprising 286 DBS leads placed since 2002 was reviewed. Intraoperative cough, which has been associated with VAE, as well as hemodynamic instability were the focus of the review. Additionally, a prospective evaluation of the incidence of VAE using precordial Doppler ultrasound was undertaken over a 3-month period (June 2007–August 2007). Results: The retrospective review revealed a 3.2% incidence of cough per lead. Prospective monitoring in 21 consecutive patients with 22 leads yielded the detection of 1 VAE, and an incidence of 4.5% per lead. Conclusion: VAEs are rare but potentially serious complications of DBS surgery unless recognized. Patient positioning and the occurrence of cough are two important predictors to consider in VAE. Precordial Doppler is a safe, non-invasive monitor that can be used in the early detection of VAE in these procedures.

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“…The development of microsurgical skills and image guidance technique have enabled the surgeons to approach such lesions with competence and predetermined goals of intervention. Recent literature has shown that complete resection provides better long term prognosis [2]. However, surgical complications may arise from such approach, especially in dealing with meningiomas that are involving the dural venous sinuses.…”

Section: Discussionmentioning

confidence: 99%

Management of Inadvertent Injury to Superior Sagittal Sinus in Parasagittal Meningioma: Technical Note

Jishi¹

2014

JNSK

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Comparative incidence of venous air embolism and associated hypotension in adults and children operated for neurosurgery in the sitting position

Cited by 52 publications

References 19 publications

Complications related to positioning in posterior fossa craniectomy

Complications related to positioning in posterior fossa craniectomy

Venous Air Embolism in Deep Brain Stimulation

Management of Inadvertent Injury to Superior Sagittal Sinus in Parasagittal Meningioma: Technical Note

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