Fatal venous air embolism during lumbar spondylolisthesis surgery

Elouardi, Youssef; Zarrouki, Youssef; Darouich, Hasna; Khallouki, M.

doi:10.4103/ija.ija_575_20

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Some studies have shown that the prone surgical position can cause VAE (3)(4)(5)(6)(7)(8)(9). During prone surgery, the distance of the entrance point above the right side of the heart is increased and can generate gravity gradients even without blood loss (10).…”

Section: Discussionmentioning

confidence: 99%

Chest x-ray feature of venous air embolism in orthopedic surgery in prone position: A case report

Liu

Gao²,

Chen

et al. 2023

Front. Surg.

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BackgroundVenous air embolism (VAE) is a life-threatening event characterized as a series of clinical features of the disease caused by gas entering the venous circulation in the body.Case presentationA 72-year-old male patient with an ankle fracture after trauma was admitted, and complained of chest pain and dyspnea after the ankle fracture resection and internal fixation. His heart rate and blood pressure dropped, and the patient was diagnosed with VAE according to a chest x-ray and clinical features. Cardiopulmonary resuscitation was carried out and the patient's heartbeat recovered; his blood pressure rose to a normal level. The patient was still unconscious and sent to the intensive care unit for continued monitoring and treatment. Unfortunately, the patient discharged himself from the hospital and died 24 h later.ConclusionThis case suggests that x-ray may be a potential method for the rapid diagnosis of VAE in a resource-limited setting.

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Section: Discussionmentioning

confidence: 99%

Chest x-ray feature of venous air embolism in orthopedic surgery in prone position: A case report

Liu

Gao²,

Chen

et al. 2023

Front. Surg.

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“…This separation in EtCO 2 and PaCO 2 values is also an important tool to measure thrombolysis under GA.[ 1 ] TTE coupled with EtCO 2 changes seems to be useful in intra-operative cardio- circulatory failure to exclude other differential diagnoses. [ 2 ] The 2019 consensus European Society of Cardiology (ESC) guidelines strongly recommend intravenous UFH as a treatment of choice in haemodynamically unstable APE. [ 3 ] Catheter-directed therapy (CDT) had been done for APE.…”

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confidence: 99%