Air embolism during liver resection: an unusual mechanism of entry from a peristaltic pump

Delva, E.; Sadoul, Nicolas; Chandon, M.; Boucherez, C.; Lienhart, A.

doi:10.1007/bf03010976

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Maher and Schreiner (20) report that a small number of air bubbles caused no symptoms; however, chest pain was reported by others in this setting. Accidental infusion of small amounts of air during blood transfusion did not cause any lasting adverse effects (21). Bubbles in the venous system as the result of respiratory support and small internal wounds have been recorded by Doppler ultrasound (22).…”

Section: Alr Detectorsmentioning

confidence: 99%

The Extracorporeal Circuit

Polaschegg¹

1995

Seminars in Dialysis

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Section: Alr Detectorsmentioning

confidence: 99%

The Extracorporeal Circuit

Polaschegg¹

1995

Seminars in Dialysis

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Fatal air embolism as a complication of laser‐induced hyperthermia

et al. 1989

Lasers Surg Med

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Laser-induced hyperthermia is a new treatment modality for malignancies. When large tumors are treated with laser thermia, relatively high laser powers (4-6 W) must be used to accomplish destruction of the cancerous cells. Overheating and burning of the laser fibers and contact tips during laser thermia treatment must be prevented by using coaxial gas or fluid flow. The present report describes a case of fatal air embolism as a complication of laser thermia using coaxial gas. The authors warn all surgeons performing this procedure not to use coaxial air flow for cooling the contact tips because of the potential risk of air embolism.

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Gas Embolism: Part I. Venous Gas Emboli

Wilson

Curley

1996

J Intensive Care Med

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A I M , Curley FJ. Gas embolism: Part I. \'enous gas emlmli. J Intensive Care Xlcd 19661 1:181-204. ~ ~Gas emboli syndromes occur in many different settings, and their medical signifimnce ranges from being life-threatening emergencies to being totally innocuous. W'e discuss vcnous gas embolization in hrt I of this review, and it a n rcsult from a variety of traumatic, diagnostic, therapeutic, and surgical interventions. The pathophysiological consequences depend on where the gas bubbles impact and obstruct the circulation-by cmting an 'air lock" in the right ventricle, by obstruction of pulnionary arterioles, and sometimes \vitli passage into the arterial circulation (so called pandoxical emboli). Various monitoring tcchniques arc available and arc known to be usefiil in high-risk patients. Nevcrthclcss, the diagnosis can be difficult to establish. Myriad and generally nonspecific clinical manifestations may he present; the patient may often cxhil>it signs and symptoms suggestive of other acute cardiopulmonar). or central nervous system events. 'Ilie classically descritxd 'mill-wheel murmur" is actually a mrc finding, and it is transient PI best. Iliere arc no specific diagnostic tests anilablc, and clinicians, niust tlcpend on a high level of suspicion in the appropriate settings. Rapid identification of the problem, with prevention of funher gas entry into the venous circulation, slioultl be a routine measure. llic left Iatcnl decutlitus position, administration of 100% o-xygen, and hyperbaric oq'genation should 111 be considered, and they have been shown to bc effective treatment modalities. From thr Division o f I'ulmonary, Allergy and Critical Care blcdicine, Univcrsity of Xlnssnchusctrs Medial Schml. \\brcester AL\. Address corrcspondcnce to Dr \\&on, The Division o f Pulmonary, Allerg7 and Criticd Care Xlcdicine, Univcrsity of X~ass3chu-sctts bletlical School, 55 h k e Ave Konh. \\'orcesrer, XL\ 01655. Kcceived Oct 14,133 1. :ind in r e v i d forni L)cc4,1335. Acceptcd for publimtion Dec 12, 1395.Current beliefs hold that althougli gas embolization arises frequently and from innumerable causes, clinically significant gas ernbolization is a rare clinical entity. It is clear that venous air embolism may occur in numerous clinical, vocational, and recreational settings. However, it is not clear that signifia n t emtioli are rare. \Vhether venous, arterial, or extravascular in location, gaseous enilmli may precipitate full-blown medical emergencies. We discuss these entities separately based on the predominant location of the gas collections, although they are not always separate and distinct. Part I focuses on venous gas embolism (VGE). Part I1 \vilI be concerned with arterial gas embolism anti decompression sickness. On any given day and with almost any given hospitalized patient, we have all witnessed air bubbles being infused into :I patient's venous circulation. W e can easily imagine how this scenario, being repeated so frequently, might lead to serious consideration of VGE as being the most common iatro...

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Air embolism during liver resection: an unusual mechanism of entry from a peristaltic pump

Cited by 3 publications

References 10 publications

The Extracorporeal Circuit

The Extracorporeal Circuit

Fatal air embolism as a complication of laser‐induced hyperthermia

Gas Embolism: Part I. Venous Gas Emboli

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