Venous Air Embolism and Cervical Microdiscectomy

Wasnick, John D.; Vassallo, Susan A.; Hoffman, William J.; Russell, Thomas K.; Eichenholz, P. W.

doi:10.1213/00000539-199512000-00028

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…4 Case reports of VAE during anterior spine surgery are limited primarily to the cervical spine in the supine position, where incidence can be as high as 10%. 5 A case of iliac vein air embolism was reported during open hysterectomy after laceration to the iliac vein had occurred. 6 This patient experienced early signs of VAE including a decrease in PaO 2 , decrease in SpO 2 , and decrease in ETCO 2 .…”

Section: Discussionmentioning

confidence: 99%

Venous Air Embolism during Anterior Lumbar Surgery

Bader¹,

Cho²,

Heitz³

2013

Journal of Perioperative Echocardiography

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The use of transesophageal echocardiography (TEE) has improved the detection of venous air embolism (VAE), especially in the case of small VAE where clinical changes can be subtle and erroneously attributed to volume status or cardiac function. We present a case of VAE in a 62 years old female that occurred during anterior lumbar spine surgery that was diagnosed with the aid of TEE. As anterior lumbar spines surgery is traditionally not associated with VAE, we believe this is the first reported case of VAE in this type of procedure. How to cite this article Cho SJ, Bader SO, Heitz JW. Venous Air Embolism during Anterior Lumbar Surgery. J Perioper Echocardiogr 2013;1(1):30-32.

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Section: Discussionmentioning

confidence: 99%

Venous Air Embolism during Anterior Lumbar Surgery

Bader¹,

Cho²,

Heitz³

2013

Journal of Perioperative Echocardiography

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“…43,54,55 Although the incidence is low in lumbar and thoracic procedures, a number of fatal episodes of venous air embolism have been reported when the diagnosis of venous air embolism was made only after a large embolus has occurred. 43,54,55 Although the incidence is low in lumbar and thoracic procedures, a number of fatal episodes of venous air embolism have been reported when the diagnosis of venous air embolism was made only after a large embolus has occurred.…”

Section: Venous Air Embolismmentioning

confidence: 99%

Anesthesia for Spine Surgery

Black¹

2009

ASA Refresher Courses in Anesthesiology

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“…No specific studies in the literature report air embolus during ankylosing spondylitis surgery; however, this remains a concern when cervical surgery is performed in the seated position [20,21]. Irrigation with hydrogen peroxide may be a predisposing factor [22].…”

Section: Pitfalls Of Cervical Osteotomy For Deformitymentioning

confidence: 99%

Avoiding complications in patients with ankylosing spondylitis undergoing spine surgery

Bono¹,

Min

2005

Current Opinion in Orthopaedics

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Purpose of reviewCervical spine surgery is often indicated in patients with ankylosing spondylitis, most often for stabilization of fractures or correction of deformity. Operating on patients with ankylosing spondylitis requires a number of unique considerations. The purpose of this review is to provide the reader with an update of recent literature and findings concerning this topic. Recent findingsCervical fractures in patients with ankylosing spondylitis are usually inherently unstable and are associated with a higher rate of neurologic injury and complications than in patients with nonankylosing spondylitis. Early diagnosis is the key to preventing neurologic decline. Surgical fixation has advantages of earlier mobilization and protection and the neural elements. Preoperative kyphotic deformity, proclivity for epidural hematomas, and osteoporosis/osteopenia must be considered when planning surgery, however. Cervical osteotomy can lead to good results in patients with ankylosing spondylitis with chin-on-chest deformities, but it also presents a number of surgical challenges. As with fracture surgery, prone positioning can be difficult because of cervicothoracic and lumbar kyphosis. Awake surgery in the seated positioning can be useful, although it presents a risk for intravascular air embolus. Neurologic decline is most likely during osteotomy closure. It is best prevented by performing a controlled reduction maneuver and avoiding overcorrection with continuous spinal cord monitoring. Summary Great care and thoughtful planning are critical to optimizing results and avoiding complications when performing cervical spine surgery in patients with ankylosing spondylitis.

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Venous Air Embolism and Cervical Microdiscectomy

Cited by 4 publications

References 6 publications

Venous Air Embolism during Anterior Lumbar Surgery

Venous Air Embolism during Anterior Lumbar Surgery

Anesthesia for Spine Surgery

Avoiding complications in patients with ankylosing spondylitis undergoing spine surgery

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