Endoscopic Bubble Trouble Hyperbaric Oxygen Therapy for Cerebral Gas Embolism During Upper Endoscopy

被引:7
|
作者
Cooper, Jeffrey S. [1 ]
Thomas, Jason [1 ]
Singh, Shailender [1 ]
Brakke, Tarra [1 ]
机构
[1] Univ Nebraska Med Ctr, 981150 NMC, Omaha, NE 68198 USA
关键词
gas embolism; endoscopy; hyperbaric oxygen; CARBON-DIOXIDE INSUFFLATION; PATENT FORAMEN OVALE; FATAL AIR-EMBOLISM; GASTROINTESTINAL ENDOSCOPY; RETROGRADE CHOLANGIOPANCREATOGRAPHY; CONTROLLED-TRIAL; METAANALYSIS; DILATION; POSITION;
D O I
10.1097/MCG.0000000000000614
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Gas embolism is a rare but potentially devastating complication of endoscopic procedures. We describe 3 cases of gas embolism which were associated with endoscopic procedures (esophagogastroduodenoscopy and endoscopic retrograde cholangiopancreatography). We treated these at our hyperbaric medicine center with 3 different outcomes: complete resolution, death, and disability. We review the literature regarding this unusual complication of endoscopy and discuss the need for prompt identification and referral for hyperbaric oxygen therapy. Additional adjunctive therapies are also discussed.
引用
收藏
页码:E48 / E51
页数:4
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