AIR EMBOLISM DURING NEUROSURGERY a new method of treatment

High Cervical Lipoma: A Case Report and Review with Classification

“…Michenfelder and his colleagues reported an incidence of 2.5% of 418 cases during occipital cranioectomy in the sitting position. 9 Our case, who had no recognized heart problem before the surgery, had the surgery in the prone position with a slight head up position. But we could not clearly identify the reason why the brain stem embolism had occurred and we were unable to obtain post-mortem findings about the brain stem by a necropsy, but CT after the accident suggested oedema.…”

The anaesthetic management of posterior fossa explorations in infants

“…This accomplished two things: it gave an opportunity to assess central venous pressure and it provided a means to aspirate air. 12 The patients' abdomen and legs from toes to the top of the thighs were wrapped in tensor bandages to support cardiovascular tonus. In addition, the legs were kept slightly elevated throughout the surgical procedure to prevent venous pooling in the lower extremities.…”

Embolia gasosa em neurocirurgia

“…Michenfelder e col. 9 , em 1.114 intervenções feitas nesta posição, sendo 418 craniectomias occipitais, observaram embolias em 11 destes últimos casos. Altenburg (cit.…”

“…por Maroon e col. 6 ). Michenfeider e col. 9 , em 11 casos de embolia, constataram a presença de "mill-whell" em apenas três. Nos casos relatados neste trabalho, somente um apresentou o "mill-whell".…”

“…A aspiração direta do coração e a massagem cardíaca a céu aberto não dão resultado, devido ao tempo necessário para ser feita a toracotomia. Michenfelder e col. 9 não assinalaram caso algum de óbito dentre os 11 que apresentaram embolia, utilizando principalmente a aspiração do ar por cateter intra-cardíaco. Ericson e col.…”