Air Embolism of the Brain – a Case Report

Czech version

Authors: I. Hanke; A. Kodýtková; I. Penka
Authors‘ workplace: Chirurgická klinika LF MU a FN Brno
Published in: Cesk Slov Neurol N 2015; 78/111(3): 359-362
Category: Case Report

Overview

Air embolism was described in neurosurgery and cardiac surgery, diving or childbirth. It can develop as a result of chest injury or during laparoscopic procedures, when a larger caliber vein is injured. Recently, we have witnessed exponential increase in the use of central venous accesses. At present, air embolism is most frequently seen when central venous catheters are being handled. It is a rare but potentially lethal complication. We wish to present our experience with air embolism clinically manifested as a stroke on a case of a 55-year-old patient treated for acute diverticulitis. The authors propose preventive steps to avoid air embolism.

Key words:
air embolism – central venous catheter – complication of treatment – stroke

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Sources

1. Gordy S, Rowell S. Vascular air embolism. Int J Crit Illn Inj Sci 2013; 3(1): 73– 76.

2. Galuszková D. Rizika krevních transfúzí. Interní Med 2007; 9(11): 495– 498.

3. Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology 2007; 106(1): 164– 177.

4. Zong Y. Cerebral air embolism after central venous catheter removal: a case report and literature review. J Anesth Crit Care Open Access 2014; 1(2): 00006.

5. Brockmeyer J, Simon T, Seery J, Johnson E, Armstrong P. Cerebral air embolism following removal of central venous catether. Mil Med 2009; 174(8): 878– 881.

6. Havel E, Zadák Z. Intenzivní medicína na principech vnitřního lékařství. 1. vyd. Praha: Grada 2007: 55– 56.

7. Yeddula K, Ahmad I, Mohammed SH, Hedgire S, Venkatesh V, Abbara S et al. Paradoxical air embolism following contrast material injection through power injectors in patients with a patent foramen ovale. Int J Cardiovasc Imaging 2012; 28(8): 2085– 2090.

8. Peichl P. Komplikace ablace fibrilace síní. Interv Akut Kardiol 2008; 7(6): 226– 229.

9. Dostálová Z, Gerychová R. Rizika těhotenství a porodu. Interní Med 2008; 10(9): 418– 421.

10. Blanc P, Boussuges A, Henriette K, Sainty JM, Deleflie M.Iatrogenic cerebral air embolism: importance of an early hyperbaric oxygenation. Intensive Care Med 2002; 28(5): 28559– 28563.