Document Detail

Fatal venous air embolism during emergence from anesthesia.
MedLine Citation:
PMID:  19762305     Owner:  NLM     Status:  MEDLINE    
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.
Teng-Kuei Hsieh; Ja-Ping Hsieh; Ming-Chung Lin; Shung-Tai Ho; Chung-Hsi Hsing; Jhi-Joung Wang; Chin-Chen Chu
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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    
Department of Anesthesiology, Chi-Mei Medical Center, Tainan, Taiwan, R.O.C.
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MeSH Terms
Anesthesia / adverse effects*
Echocardiography, Transesophageal
Embolism, Air / etiology*,  prevention & control,  ultrasonography
Fatal Outcome
Middle Aged

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

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