Document Detail


Pulmonary oedema following venous air embolism during transsphenoidal pituitary surgery.
MedLine Citation:
PMID:  17763968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Venous air embolism (VAE) is a well known complication in procedures where the operative field is above the level of the heart. Acute pulmonary oedema after a large air embolus occurring during neurosurgery is also a recognized phenomenon. However, pulmonary oedema following repeated episodes of VAE in sublabial transsphenoidal (SLTS) surgery for pituitary adenoma has never been reported. We describe a case of VAE in a 65 year old male undergoing SLTS surgery for pituitary adenoma. Following this, the patient had pulmonary oedema which resolved on supportive treatment. Pulmonary oedema as a result of VAE may go unrecognised intraoperatively but can lead to a significant postoperative morbidity. Early suspicion and recognition of VAE and institution of aggressive treatment will help to avoid fatal consequences.
Authors:
R Arora; D Chablani; G P Rath; H Prabhakar
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-09-04
Journal Detail:
Title:  Acta neurochirurgica     Volume:  149     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-13     Completed Date:  2008-01-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  1177-8     Citation Subset:  IM    
Affiliation:
Neurosciences Centre, Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / surgery*
Aged
Cerebral Veins
Embolism, Air / complications*,  therapy
Humans
Intensive Care
Male
Pituitary Neoplasms / surgery*
Postoperative Complications / etiology*,  therapy
Pulmonary Edema / etiology*,  therapy
Respiration, Artificial
Risk Factors
Sphenoid Sinus / surgery

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


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