Document Detail


Fatal venous air embolism during emergence from anesthesia.
MedLine Citation:
PMID:  19762305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a case of the sudden onset of cardiovascular collapse during emergence from anesthesia resulting from a massive venous air embolism, which was detected by transesophageal echocardiography. We present this case to remind anesthesiologists to be aware of the risk of a sudden return of air trapped in the venous system during emergence from anesthesia. The air is freed because the sympathetic tone is increased, muscle-pumping power is regained, ventilation shifts from positive-pressure to negative-pressure spontaneous ventilation, and the patient is repositioned after surgery.
Authors:
Teng-Kuei Hsieh; Ja-Ping Hsieh; Ming-Chung Lin; Shung-Tai Ho; Chung-Hsi Hsing; Jhi-Joung Wang; Chin-Chen Chu
Related Documents :
1864795 - Localization of the sites of pulmonary vasomotion by use of arterial and venous occlusion.
3008595 - Physiology of alfentanil-induced rigidity.
6470055 - Retroglenoid venoconstriction and its influence on canine intracranial venous pressures.
11846915 - Cerebral venous blood outflow: a theoretical model based on laboratory simulation.
19410005 - Is the brain the essential in hypertension?
15278605 - Effect of controlled mechanical ventilation without positive end-expiratory pressure on...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  47     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-18     Completed Date:  2010-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  138-42     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Chi-Mei Medical Center, Tainan, Taiwan, R.O.C.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anesthesia / adverse effects*
Echocardiography, Transesophageal
Embolism, Air / etiology*,  prevention & control,  ultrasonography
Fatal Outcome
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Cervicofacial subcutaneous emphysema following tonsillectomy: implications for anesthesiologists.
Next Document:  Anesthetic management of a patient with congenital methemoglobinemia.