| Paradoxical cerebral air embolism after removal of a central venous catheter: case report. | |
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MedLine Citation:
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PMID: 11190381 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Paradoxical cerebral air embolization through a residual tract after the removal of a central venous catheter is a serious complication of central venous cannulation. Air embolisms resulting from residual catheter tracts in general patients and in single lung transplant patients have been reported. The generally accepted mechanism of this complication is failure of a spontaneous collapse or thrombotic obliteration of a well-formed catheter tract. It may be related to the duration of catheter insertion, the patient's nutritional status, the diameter of the indwelling catheter, the upright position of the patient, deep inspiration or coughing, and improper wound dressing and catheter removal. Cardiovascular collapse, pulmonary or neurologic sequelae, and even death, are commonly noted in patients with air embolism. In this article, we report on cerebral air embolization as a complication with the removal with a central venous catheter in a patient with bullous emphysema. A high degree of suspicion and a prompt diagnosis are required for successful application of established therapy. Simple prophylactic procedures and constant awareness of the unusual mechanism of air embolism remain the best treatment. |
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Authors:
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Y C Wu; H P Liu; Y H Liu; M J Hsieh; P J Lin |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chang Gung medical journal Volume: 23 ISSN: 2072-0939 ISO Abbreviation: Chang Gung Med J Publication Date: 2000 Nov |
Date Detail:
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Created Date: 2001-01-16 Completed Date: 2001-02-08 Revised Date: 2008-12-16 |
Medline Journal Info:
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Nlm Unique ID: 101088034 Medline TA: Chang Gung Med J Country: China (Republic: 1949- ) |
Other Details:
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Languages: eng Pagination: 706-10 Citation Subset: IM |
Affiliation:
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Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, 5 Fu-Shin Street, Kweishan, Taoyuan, Taiwan, R.O.C. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Catheterization, Central Venous / adverse effects* Device Removal Embolism, Air / etiology* Embolism, Paradoxical / etiology* Humans Intracranial Embolism / etiology* Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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