Rare pathology in a trauma patient: air embolism following peripheral intravenous access

2021 ◽  
Vol 14 (1) ◽  
pp. e240428
Author(s):  
Enoch Yeung ◽  
Adeolu Adeboye ◽  
Paul Granet ◽  
Steven Casos
Keyword(s):  
Ct Scan ◽  
Trauma Patient ◽  
Air Embolism ◽  
Trauma Resuscitation ◽  
Intravenous Access ◽  
Farm Tractor ◽  
Peripheral Intravenous Access ◽  
Air Embolus

A 62-year-old man presented as a trauma alert after a farm tractor accident. He was managed according to ATLS protocol. During initial trauma resuscitation, he developed an iatrogenic air embolus. The patient was treated conservatively by positioning him head down and tilted to the left (Durant’s manoeuvre). Repeat CT scan performed 4 hours later showed resolution of the air embolus. He had no sequelae.

scholarly journals Low Consciousness in a Patient with Venous Air Embolism Introduced via Peripheral Vascular Cannulation

2021 ◽  
Author(s):  
Faris Tariq ◽  
Fazila Ijaz Gondal ◽  
Gautam Bagchi
Keyword(s):  
Air Embolism ◽  
Central Venous Catheters ◽  
Close Monitoring ◽  
Peripheral Vascular ◽  
Central Venous ◽  
Intravenous Cannula ◽  
Intravenous Access ◽  
Venous Air Embolism ◽  
Level Of Consciousness ◽  
Peripheral Intravenous Access

Introduction: Venous air embolism is rarely seen, can be fatal and is associated mostly with large central venous catheters and mechanical ventilation. Some cases due to peripheral intravenous access have also been reported. Case Description: We present a case of intracranial venous air embolism most likely secondary to peripheral cannulation. On admission, the patient was drowsy with a suddenly deteriorating Glasgow coma scale score. This case emphasizes cautious cannula insertion and close monitoring of the patient in the event of complications. Conclusion: Intravenous cannulation is common but care should be taken to avoid catastrophic complications. Consider air embolism as the differential diagnosis if a patient has a low level of consciousness after an intravenous cannula is inserted.

scholarly journals Air embolism following peripheral intravenous access

2019 ◽  
Vol 32 (3) ◽  
pp. 433-434 ◽  
Author(s):  
Myrian Noella Vinan-Vega ◽  
M. Rubayat Rahman ◽  
Jeremy Thompson ◽  
Misty D. Ruppert ◽  
Raj J. Patel ◽  
...  
Keyword(s):  
Air Embolism ◽  
Intravenous Access ◽  
Peripheral Intravenous Access

8.5 French peripheral intravenous access during air medical transport of the injured patient

1997 ◽  
Vol 16 (1) ◽  
pp. 7-10 ◽  
Author(s):  
Holly Herron ◽  
Robert Falcone ◽  
Barb Dean ◽  
Howard Werman
Keyword(s):  
Injured Patient ◽  
Intravenous Access ◽  
Medical Transport ◽  
Peripheral Intravenous Access

Intraosseous or Peripheral Intravenous Access in Pediatric Cardiac Arrest? Results From the French National Cardiac Arrest Registry

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Morgan Recher ◽  
Valentine Baert ◽  
Joséphine Escutnaire ◽  
Quentin Le Bastard ◽  
François Javaudin ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Intravenous Access ◽  
Peripheral Intravenous Access

scholarly journals Head-down tilt position successfully prevent severe brain air embolism

2018 ◽  
Vol 6 ◽  
pp. 2050313X1880926 ◽  
Author(s):  
Gaku Yamaguchi ◽  
Hiroyuki Miura ◽  
Eiji Nakajima ◽  
Norihiko Ikeda
Keyword(s):  
Cardiac Arrest ◽  
Low Temperature ◽  
Brain Damage ◽  
Air Embolism ◽  
Cardiac Massage ◽  
Open Chest ◽  
Successful Recovery ◽  
Life Threatening ◽  
Margin Detection ◽  
Air Embolus

Air embolisms are rare life-threatening complications that develop under various conditions, including surgery. During segmentectomy for thoracic surgery, air is blown into the selected bronchus for segment margin detection. This may result in the formation of an air embolus. Herein, we report a case of successful recovery from sudden intraoperative cardiac arrest due to an air embolism in a patient undergoing left superior division segmentectomy via open thoracotomy. Intraoperatively, the patient was positioned head-down. Upon blowing air into the bronchus, the patient suddenly developed cardiac arrest. Open-chest cardiac massage and low-temperature therapy were commenced and the patient recovered. The head-down position prevents the air embolus from reaching the brain and thus prevents severe brain damage, whereas continuous open-chest massage and low temperature prevents severe body damage from anticipated cardiac air embolism. Thus, operation in the head-down position is useful in preventing severe brain damage from brain air embolisms.

scholarly journals The effective use of hyperbaric oxygen therapy (HBOT) in the management of air embolism – rare and potentially fatal acute complication of hemodialysis

2021 ◽  
Author(s):  
Grzegorz Kade ◽  
Sebastian Spaleniak ◽  
Artur Maliborski ◽  
Jacek Siewiera ◽  
Stefan Antosiewicz ◽  
...  
Keyword(s):  
Ct Scan ◽  
Hyperbaric Oxygen ◽  
Vascular Access ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Air Embolism ◽  
Arterial System ◽  
Sensor Failure ◽  
Acute Complication

Introduction: Air embolism is a rare and potentially fatal acute complication. Its causes are mainly iatrogenic. It requires rapid diagnostics and treatment, including hyperbaric oxygen therapy (HBOT). Aim: The main aim was to present the potential causes of air embolism during hemodialysis (HD) and show the importance of quick clinical diagnosis and therapy – on the base of clinical case. Case study: 65-years old male patient with diabetic nephropathy was treated with HD. The permanent dialysis catheters were used as vascular access due to the difficulties with formation of arteriovenous fistula. The massive air embolism occurred during one of the dialysis sessions. The clinical suspicion was confirmed by CT scan which showed the presence of gas bubbles in abdominal arteries. The cause of air embolism was sensor failure. The presence of patent foramen ovale (PFO) with reversed leakage caused the air ingress into arterial system. Patient was qualified for the immediate hyperbaric therapy. The quick improvement in the condition of the patient took place. Results and discussion: The massive air embolism may occur in HD patients, particularly in those who are dialyzed with use of catheters as vascular access. This rare complication should be considered in the case of sudden worsening of patient condition during HD procedure. The use of CT scan to confirm the air embolism suspicion and availability of HBOT are necessary for successful management of this complication. Conclusions: HBOT is a safe and effective method of air embolism treatment in HD patients.

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