Carbon dioxide embolism treated with hyperbaric oxygen

McGrath, Brian J.; Zimmerman, Jack E.; Williams, John F.; Parmet, Jonathan L.

doi:10.1007/bf03005390

Cited by 60 publications

(16 citation statements)

References 20 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidences during diagnostic cardiac catheterisation and percutaneous coronary intervention are 0.84% and 0.24%, respectively [254]. AE is a rare complication of ventricular assist device pump dissection [255], ventilation-induced lung trauma [256] and laparoscopy which can lead to air, argon or carbon dioxide embolism [257,258], Other causes include fibrinolytic pleural lavage [259], the intraoperative use of hydrogen peroxide, insufflation of air during endoscopy, laser therapy, arthroscopy, thoracotomy, noninvasive ventilation, carotid endarteriectomy or prostatectomy [245,260].…”

Section: Incidencementioning

confidence: 99%

Nonthrombotic pulmonary embolism

Jorens¹,

Marck²,

Snoeckx³

et al. 2009

European Respiratory Journal

161

127

View full text Add to dashboard Cite

Nonthrombotic pulmonary embolism (NTPE) is defined as embolisation to the pulmonary circulation of different cell types (adipocytes, haematopoietic, amniotic, trophoblastic or tumour), bacteria, fungi, foreign material or gas. The purpose of this article is to describe the clinical signs, pathogenesis, diagnosis and treatment of the different NTPE subtypes.The complex and diverse pathogenesis of different subtypes of emboli is subject to continuing speculation and is certainly far more complex than ''simple'' mechanical obstruction after embolisation of vascular thrombi. Nonthrombotic emboli may also lead to a severe inflammatory reaction both in the systemic and pulmonary circulation, as well as in the lung.NTPE presents a formidable diagnostic challenge, as the condition often presents with very unusual and peculiar clinical signs that are frequently overlooked. They range from very dramatic acute presentations such as acute respiratory distress syndrome to signs observed late in the disease course. Pathological observations play a key role in the exact diagnosis, and sometimes carefully aspirated blood from the pulmonary artery or specific staining of cells recovered from bronchoalveolar lavage fluid may be helpful. Frequently, lung biopsies revealing severe granulomatous reaction or unfortunate post-mortem pathological investigations of pulmonary tissue are necessary to confirm the diagnosis. Here, we also aim to familiarise the reader with the atypical radiological features of NTPE. Thin-section computed tomography of the lungs showing peculiar radiographic findings, such as a feeding vessel, the so-called tree-in-bud pattern or the appearance of micronodules distributed at the termination of bronchovascular bundles, may be observed in certain forms of NTPE.Increased awareness of NTPE as an underestimated cause of acute and chronic embolism, which may result in acute and chronic pulmonary hypertension, is needed. Despite the fact that detailed descriptions of several forms of NTPE have existed for nearly 100 years, well-designed trials have never been performed to evaluate therapy in the different subsets of these patients.

show abstract

Section: Incidencementioning

confidence: 99%

Nonthrombotic pulmonary embolism

Jorens¹,

Marck²,

Snoeckx³

et al. 2009

European Respiratory Journal

161

127

View full text Add to dashboard Cite

show abstract

“…This is deleterious to patients with restricted coronary circulation [11]. Furthermore, CO 2 is reported to have caused serious gas emboli [5,9], exposing the patient to a life-threatening situation. In addition, CO 2 , as a volatile acid, can lead to respiratory acidosis during prolonged procedures [12].…”

mentioning

confidence: 99%

Postoperative drowsiness and emetic sequelae correlate to total amount of carbon dioxide used during laparoscopic cholecystectomy

1997

View full text Add to dashboard Cite

show abstract

“…Είσοδος αέρα στη φλεβική κυκλοφορία είναι δυ νατό, επίσης, να συμβεί σε καρδιαγγειακές (Murray 1981, Murphy et al 1985, Seidelin et al 1987, σε λα-παροσκοπικές (McGrath et al 1989, Paw and Sackier 1994, Derouin et al 1996, Isaacson 1999, καθώς και σε ορθοπαιδικές επεμβάσεις, όπως είναι η ολική αρ-θροπλαστική του ισχίου (Michel 1980). Τέλος, είσο δος αέρα στα φλεβικά στελέχη μπορεί να παρατηρη θεί κατά τη διάρκεια μηχανικού αερισμού των πνευ μόνων (Marini and Culver 1989) και κυρίως σε περι πτώσεις προϋπάρχοντος τραύματος του πνευμονικού παρεγχύματος (Michel 1980).…”

Section: περιγραφη περιστατικουunclassified

“…Σημαντικό, επίσης, ρόλο στην τελική έκβαση του α σθενούς διαδραματίζει η σύσταση του αέρα. Τις πε ρισσότερες φορές η εμβολή είναι από ατμοσφαιρικό αέρα, αλλά εμβολή μπορεί να επέλθει και από διο ξείδιο του άνθρακα, από μονοξείδιο του αζώτου, από άζωτο και από ήλιο (De la Torre et al 1962, McGrath et al 1989, Mitchell et al 2000. Οι εμβολές με ατμο σφαιρικό αέρα προκαλούν, λόγω της παρουσίας του αζώτου, καρδιακή αρρυθμία, καρδιακή ανεπάρκεια, πνευμονική υπέρταση και πνευμονικό οίδημα, ενώ η εμβολή με διοξείδιο του άνθρακα, εφόσον δεν είναι μαζική και ταχεία, έχει καλύτερη έκβαση δεδομένου ότι το διοξείδιο του άνθρακα είναι σαράντα φορές πιο ευδιάλυτο στο αίμα από τον ατμοσφαιρικό αέρα.…”

Section: περιγραφη περιστατικουunclassified

Fatal venous air embolism in swine during surgical procedure

Katsimpoulas

Kakisis

Peroulis

et al. 2018

J Hellenic Vet Med Soc

View full text Add to dashboard Cite

Air embolism can occur after minor invasive procedures, as well as during major surgical operations. Reports of air embolism cases in veterinary literature are not very often, although it is considered that it happens more often than it is recognized. During a surgical procedure in swine, for the creation of a fistula of PTFE graft between the right common carotid artery and the right jugular vein under general anaesthesia, the animal died due to massive venous air embolism. Although it is supposed that the air was possibly inserted through the anaesthetic machine or through the anastomosis, the exact mechanism of the air insertion remains unknown.

show abstract

Carbon dioxide embolism treated with hyperbaric oxygen

Cited by 60 publications

References 20 publications

Nonthrombotic pulmonary embolism

Nonthrombotic pulmonary embolism

Postoperative drowsiness and emetic sequelae correlate to total amount of carbon dioxide used during laparoscopic cholecystectomy

Fatal venous air embolism in swine during surgical procedure

Contact Info

Product

Resources

About