Transesophageal Echocardiography–Guided Aspiration of Venous Air Embolism During Liver Transplantation: A Case Report

2021 ◽  
Vol 15 (12) ◽  
pp. e01534
Author(s):  
Sophia P. Poorsattar ◽  
Michael Y. Lin
2021 ◽  
Vol 8 (4) ◽  
pp. 611-614
Author(s):  
Dinesh Suryanarayana Rao ◽  
Veena Velmurugan

Tumors in the posterior fossa can be done in lateral, supine, prone, sitting and in park bench positions. Depending on the exact position of the lesion and the technical preference of the surgeon, sitting position may be preferred. Sitting position grants best possible access to deeper structures with minimal retraction. However, maintenance of anaesthesia in this position for long duration pose some serious challenges to the anaesthesiologist including high risk of venous air embolism (VAE), hemodynamic instability and respiratory disturbances. Here, we present a case report of a 36year old male diagnosed with pineal gland space occupying lesion (SOL), operated in the sitting position under general anaesthesia. We discuss about anaesthetic management and possible complications that can be encountered.


2013 ◽  
Vol 23 (8) ◽  
pp. 754-756 ◽  
Author(s):  
Gohalem G. Felema ◽  
Robert B. Bryskin ◽  
Ian M. Heger ◽  
Roy Saswata

2017 ◽  
Vol 1 (5) ◽  
pp. 334-337 ◽  
Author(s):  
Sundeep K. Kasi ◽  
Scott Grant ◽  
Harry W. Flynn ◽  
Thomas A. Albini ◽  
Nidhi Relhan ◽  
...  

Purpose: Presumed venous air embolism (PVAE) is a rare and potentially fatal complication of pars plana vitrectomy that is poorly described and understood but requires improved awareness among ophthalmologists and vitreoretinal surgeons. Methods: A case report is presented along with a systematic review of published reports of PVAE during ocular surgery. Results: An otherwise healthy adult male undergoing retinal detachment repair under local anesthesia with monitored anesthesia care died from a PVAE. Literature search yielded 2 experimental models, 6 individual case reports, and several editorials. Review of existing reports reveals that PVAE can affect patients of any age or gender with no medical predilection and occurs in cases of trauma, endoresection, or retinal detachment repair. It is typically associated with a drop in end-tidal carbon dioxide during fluid–air exchange and can present similar to a hemorrhagic choroidal detachment. Analysis suggests that venous air embolism can be prevented by ensuring full engagement of the infusion cannula into the vitreous cavity prior to fluid–air exchange. Conclusion: Presumed venous air embolism is a potentially fatal complication of ocular surgery and in some cases may be recognized by ophthalmologists as a choroidal detachment during fluid–air exchange in pars plana vitrectomy. It is imperative to immediately stop the air infusion line if venous air embolism is suspected.


2017 ◽  
Vol 3 (3) ◽  
pp. e134 ◽  
Author(s):  
Adam Badenoch ◽  
Coimbatore Srinivas ◽  
David Al-Adra ◽  
Markus Selzner ◽  
Marcin Wąsowicz

1997 ◽  
Vol 44 (11) ◽  
pp. 1187-1190 ◽  
Author(s):  
Vincent Souron ◽  
Dominique Fletcher ◽  
Etienne Goujard ◽  
Claude Ecoffey

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