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España Fuente L, Méndez Redondo R, Gutiérrez Corral N, Fernández Martínez D. Ischaemic stroke in a post-surgical patient after replacement of a parenteral nutrition bag. NEUROLOGÍA (ENGLISH EDITION) 2020. [DOI: 10.1016/j.nrleng.2018.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Ictus isquémico tras el recambio de una nutrición parenteral en un paciente postoperado. Neurologia 2020. [DOI: 10.1016/j.nrl.2018.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Wong SSM, Kwaan HC, Ing TS. Venous air embolism related to the use of central catheters revisited: with emphasis on dialysis catheters. Clin Kidney J 2017; 10:797-803. [PMID: 29225809 PMCID: PMC5716215 DOI: 10.1093/ckj/sfx064] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 05/26/2017] [Indexed: 12/21/2022] Open
Abstract
Venous air embolism is a dreaded condition particularly relevant to the field of nephrology. In the face of a favourable, air-to-blood pressure gradient and an abnormal communication between the atmosphere and the veins, air entrance into the circulation is common and can bring about venous air embolism. These air emboli can migrate to different areas through three major routes: pulmonary circulation, paradoxical embolism and retrograde ascension to the cerebral venous system. The frequent undesirable outcome of this disease entity, despite timely and aggressive treatment, signifies the importance of understanding the underlying pathophysiological mechanism and of the implementation of various preventive measures. The not-that-uncommon occurrence of venous air embolism, often precipitated by improper patient positioning during cervical catheter procedures, suggests that awareness of this procedure-related complication among health care workers is not universal. This review aims to update the pathophysiology of venous air embolism and to emphasize the importance of observing the necessary precautionary measures during central catheter use in hopes of eliminating this unfortunate but easily avoidable mishap in nephrology practice.
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Affiliation(s)
- Steve Siu-Man Wong
- Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, China
| | - Hau C Kwaan
- Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Todd S Ing
- Department of Medicine, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA
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Savran Y, Karacam V, Bayram B, Yaka E, Karabay N. Pneumocephalus in a patient with multiple stab wounds. Turk J Emerg Med 2017; 17:1-3. [PMID: 28345064 PMCID: PMC5357101 DOI: 10.1016/j.tjem.2016.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 05/02/2016] [Accepted: 06/22/2016] [Indexed: 11/16/2022] Open
Abstract
Pneumocephalus is a complication of trauma to the chest and many iatrogenic interventions. It may arise due to systemic air embolism or retrograde cerebral venous air embolism which is an extremely rare complication. We report a 26-years-old female patient who presented to the Emergency Department suffering of multiple stab wounds. She was in a state of shock and after first aid and evaluation she was operated successfully. In the early postoperative period generalized tonic clonic convulsions were observed following cardiopulmonary resuscitation due to sudden cardiovascular collapse. Brain computerized tomography demonstrated free air in intracranial and extracranial venous structures. Pneumocephalus was diagnosed which may be due to a wide spectrum of etiologies including thorax or spinal stab wounds, tube thoracostomy, cardiopulmonary resuscitation or even central venous catheterization. Unfortunately, the patient ended up with brain death despite all effort. In conclusion, we recommend physicians to be aware of this catastrophic complication while taking care of patients with stab wounds.
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Affiliation(s)
- Yusuf Savran
- Department of Internal Medicine, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Volkan Karacam
- Department of Thoracic Surgery, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Basak Bayram
- Department of Emergency Medicine, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Erdem Yaka
- Department of Neurology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Nuri Karabay
- Department of Radiology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
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Rivers-Bowerman MD, Litz S, Schmit P. Ultrasonographic detection of air in the superior sagittal sinus in a neonate with transposition of the great arteries. Radiol Case Rep 2016; 12:204-206. [PMID: 28228911 PMCID: PMC5310535 DOI: 10.1016/j.radcr.2016.11.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Revised: 11/22/2016] [Accepted: 11/23/2016] [Indexed: 11/30/2022] Open
Abstract
Cerebral venous air embolism is a relatively rare condition that arises from iatrogenic or traumatic introduction of air into the venous system. We describe the ultrasonographic findings in a 1-day-old infant with iatrogenic retrograde cerebral venous air embolism, which to our knowledge, is the earliest case reported in the literature to date. This case highlights the role of cerebral ultrasonography in the detection and surveillance of cerebral venous air embolism in neonates.
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Affiliation(s)
- Michael D. Rivers-Bowerman
- Residency Training Program, Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Victoria General Hospital, Victoria Building, Education Office, Room 319, 1276 South Park Street, PO Box 9000, Halifax, NS B3H 2Y9, Canada
- Corresponding author.
| | - Sharon Litz
- Department of Pediatric Anesthesia, IWK Health Centre and Dalhousie University, Halifax, NS, Canada
| | - Pierre Schmit
- Department of Diagnostic Imaging, IWK Health Centre and Dalhousie University, Halifax, NS, Canada
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First described case of coma triggered by retrograde venous air embolism: An exceptional but potentially life-threatening situation. NEUROLOGÍA (ENGLISH EDITION) 2016. [DOI: 10.1016/j.nrleng.2014.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Retrograde cerebral air embolism. Am J Emerg Med 2014; 32:1562.e1-2. [DOI: 10.1016/j.ajem.2014.05.043] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Accepted: 05/20/2014] [Indexed: 11/21/2022] Open
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León Ruiz M, Benito-León J, García-Soldevilla MA, Arranz Caso JA, García-Albea Ristol E. First described case of coma triggered by retrograde venous air embolism: an exceptional but potentially life-threatening situation. Neurologia 2014; 31:350-3. [PMID: 25011383 DOI: 10.1016/j.nrl.2014.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Revised: 05/14/2014] [Accepted: 05/22/2014] [Indexed: 10/25/2022] Open
Affiliation(s)
- M León Ruiz
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
| | - J Benito-León
- Servicio de Neurología, Hospital Universitario 12 de Octubre, Madrid, España; Departamento de Medicina, Facultad de Medicina, Universidad Complutense, Madrid, España; Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, España
| | - M A García-Soldevilla
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - J A Arranz Caso
- Servicio de Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - E García-Albea Ristol
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España; Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, España
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Laurent PE, Coulange M, Bartoli C, Louis G, Souteyrand P, Gorincour G. Retrograde cerebral venous air embolism: a rare cause of intracranial gas. Diagn Interv Imaging 2014; 95:1113-5. [PMID: 24589189 DOI: 10.1016/j.diii.2013.09.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- P-E Laurent
- Laboratoire d'imagerie interventionnelle expérimentale, faculté de médecine, Aix-Marseille université, boulevard Jean-Moulin, 13385 Marseille cedex 5, France; Pôle imagerie médicale, Assistance publique des Hôpitaux de Marseille, 13385 Marseille cedex 5, France.
| | - M Coulange
- Service de médecine Hyperbare, pôle RUSH, hôpital Ste-Marguerite, 270, boulevard Sainte-Marguerite, 13274 Marseille cedex 9, France
| | - C Bartoli
- Service de médecine légale et droit à la santé, hôpital Timone, Assistance publique des Hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - G Louis
- Laboratoire d'imagerie interventionnelle expérimentale, faculté de médecine, Aix-Marseille université, boulevard Jean-Moulin, 13385 Marseille cedex 5, France; Pôle imagerie médicale, Assistance publique des Hôpitaux de Marseille, 13385 Marseille cedex 5, France
| | - P Souteyrand
- Laboratoire d'imagerie interventionnelle expérimentale, faculté de médecine, Aix-Marseille université, boulevard Jean-Moulin, 13385 Marseille cedex 5, France; Pôle imagerie médicale, Assistance publique des Hôpitaux de Marseille, 13385 Marseille cedex 5, France
| | - G Gorincour
- Laboratoire d'imagerie interventionnelle expérimentale, faculté de médecine, Aix-Marseille université, boulevard Jean-Moulin, 13385 Marseille cedex 5, France; Pôle imagerie médicale, Assistance publique des Hôpitaux de Marseille, 13385 Marseille cedex 5, France
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