Complete neurological recovery after systemic air embolism during endoscopic retrograde cholangiopancreatography

被引:1
|
作者
Bechi, A. [1 ]
Nucera, M. P. [1 ]
Olivotto, I. [2 ]
Manetti, R. [3 ]
Fabbri, L. P. [1 ]
机构
[1] Careggi Hosp, Dept Anesthesia & Intens Care, Florence, Italy
[2] Careggi Hosp, Dept Cardiol, Florence, Italy
[3] Careggi Hosp, Dept Gen Surg, Florence, Italy
关键词
Endoscopy Embolism; complications; Pancreas; surgery; DIAGNOSIS; PATIENT;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Systemic air embolisms are a rare but often a fatal complication of endoscopic retrograde cholangiopancreatography (ERCP). Only few cases have been reported in scientific studies. This paper concerns a case of a systemic air embolism that occurred during endoscopic sphincterotomy for gallstone removal in a 79-year-old-woman and discusses possible mechanisms. The basic vital and neurologic signs of the woman deteriorated abruptly towards the end of the procedure. It was believed to be an air embolism and an urgent transthoracic echocardiography was ordered which confirmed the etiological diagnosis. Supportive measures were initiated: she was administered 100% oxygen, she was placed head down, left lateral position and fluid resuscitation was started to increase venous pressure. We considered hyperbaric oxygen therapy for neurological injury but, despite the severe initial presentation, she had a complete clinical recovery with only conservative treatment. Present experience stresses the importance of the awareness of this uncommon complication: a close vigilance of the anesthetists during ERCP is critical to ensure early diagnosis and a timely intervention. (Minerva Anestesiol 2012;78:622-5)
引用
收藏
页码:622 / 625
页数:4
相关论文
共 50 条
  • [1] Fatal Systemic Venous Air Embolism During Endoscopic Retrograde Cholangiopancreatography
    Bisceglia, Michele
    Simeone, Anna
    Forlano, Rosario
    Andriulli, Angelo
    Pilotto, Alberto
    ADVANCES IN ANATOMIC PATHOLOGY, 2009, 16 (04) : 255 - 262
  • [2] Portal air embolism after endoscopic retrograde cholangiopancreatography
    Barbeiro, Sandra
    Atalaia-Martins, Catarina
    Goncalves, Claudia
    Cotrim, Isabel
    REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS, 2017, 109 (06) : 452 - U104
  • [3] Systemic air embolism associated with endoscopic retrograde cholangiopancreatography: A case report
    Li, Jing-Hao
    Luo, Zhi-Kun
    Zhang, Yu
    Lu, Ting-Ting
    Deng, Yue
    Shu, Rui-Ting
    Yu, Hang
    WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY, 2024, 16 (11):
  • [4] Fatal cerebral air embolism after endoscopic retrograde cholangiopancreatography
    Stabile, L
    Cigada, M
    Stillittano, D
    Morandi, E
    Zaffaroni, M
    Rossi, G
    Iapichino, G
    ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2006, 50 (05) : 648 - 648
  • [5] Air embolism during endoscopic retrograde cholangiopancreatography in a pediatric patient
    Di Pisa, M.
    Chiaramonte, G.
    Arcadipane, A.
    Burgio, G.
    Traina, M.
    MINERVA ANESTESIOLOGICA, 2011, 77 (01) : 90 - 92
  • [6] Incidence of Venous Air Embolism During Endoscopic Retrograde Cholangiopancreatography
    Afreen, Lubana K.
    Bryant, Ayesha S.
    Nakayama, Tetsuzo
    Ness, Timothy J.
    Jones, Keith A.
    Morgan, Charity J.
    Wilcox, Charles M.
    Phillips, Mark C.
    ANESTHESIA AND ANALGESIA, 2018, 127 (02): : 420 - 423
  • [7] Air embolism complicating endoscopic retrograde cholangiopancreatography
    Medhioub, Mouna
    Trabelsi, Becem
    Khsiba, Amal
    Saied, Mohamed
    Mahmoudi, Moufida
    Ben Mohamed, Asma
    Yacoubi, Manel
    Hamzaoui, Lamine
    Ben Ali, Mechaal
    FUTURE SCIENCE OA, 2024, 10 (01):
  • [8] Air embolism: an unusual complication of endoscopic retrograde cholangiopancreatography
    Giuly, E
    Pesenti, C
    Pernoud, N
    Bories, E
    Francon, D
    ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2005, 24 (11-12): : 1400 - 1403
  • [9] Clinical Presentation, Diagnosis, and Management of Air Embolism During Endoscopic Retrograde Cholangiopancreatography
    Maqsood, Muhammad Haisum
    Mirza, Nayab
    Hanif, Muhammad Asad
    Hanif, Hira
    Saleem, Maleeha
    Maqsood, Muhammad Arqam
    Fatima, Ilsa
    Tahir, Muhammad Moiz
    GASTROENTEROLOGY RESEARCH, 2019, 12 (06) : 283 - 287
  • [10] Cerebral air embolism during endoscopic retrograde cholangiopancreatography: treatment with therapeutic hypothermia
    Athauda, Dilan
    Tan, Garryck S.
    De Pablo-Fernandez, Eduardo
    ENDOSCOPY, 2014, 46 : E151 - E152