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Percutaneous cardiopulmonary support to treat suspected venous air embolism with cardiac arrest during open eye surgery: a case report

Authors
 Seokyung Shin  ;  Bokyung Nam  ;  Sarah Soh  ;  Bon-Nyeo Koo 
Citation
 Korean Journal of Anesthesiology, Vol.67(5) : 350-353, 2014 
Journal Title
 Korean Journal of Anesthesiology 
ISSN
 2005-6419 
Issue Date
2014
Keywords
Air embolism ; Ophthalmologic surgical procedures
Abstract
We report a case of possible venous air embolism (VAE) during trans pars plana vitrectomy with air-fluid exchange of the vitreous cavity. Shortly after initiation of air-fluid exchange, decreases in end-tidal CO2, oxygen saturation, and blood pressure were observed. The patient rapidly progressed to cardiac arrest unresponsive to cardiopulmonary resuscitation, and recovered after the application of percutaneous cardiopulmonary support. Prompt termination of air infusion is needed when VAE is suspected during air-fluid exchange, and extracorporeal life support should be considered in fatal cases. Although the incidence is rare the possibility of VAE during ophthalmic surgery clearly exists, and therefore awareness and vigilant monitoring seem critical.
Files in This Item:
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DOI
10.4097/kjae.2014.67.5.350
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)
Yonsei Authors
구본녀(Koo, Bon-Nyeo) ORCID logo https://orcid.org/0000-0002-3189-1673
남보경(Nam, Bo Kyung)
소사라(Soh, Sa Rah) ORCID logo https://orcid.org/0000-0001-5022-4617
신서경(Shin, Seokyung) ORCID logo https://orcid.org/0000-0002-2641-0070
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165082
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