Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report
A 74-year-old female with history of type 2 diabetes, hypertension, and uterine adenocarcinoma presented for CT-guided lung biopsy that was ultimately complicated by an arterial air embolus requiring intensive care. Systemic air embolism is a very rare event but can be devastating. Prompt recognitio...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322011207 |
| _version_ | 1811176119531995136 |
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| author | Danielle Fall, PA-C Tyler Smith, MD Ann Marie Prazak, PharmD Ziga Cizman, MD Aidin Iravani, MD |
| author_facet | Danielle Fall, PA-C Tyler Smith, MD Ann Marie Prazak, PharmD Ziga Cizman, MD Aidin Iravani, MD |
| author_sort | Danielle Fall, PA-C |
| collection | DOAJ |
| description | A 74-year-old female with history of type 2 diabetes, hypertension, and uterine adenocarcinoma presented for CT-guided lung biopsy that was ultimately complicated by an arterial air embolus requiring intensive care. Systemic air embolism is a very rare event but can be devastating. Prompt recognition can be difficult due to an often-vague presentation but is essential and should be considered upon rapid deterioration of a patient's status following high risk procedures. Hyperbaric oxygen therapy is preferred; however, if this is unavailable, additional treatments are predominately supportive care with 100% supplemental oxygen, rapid volume expansion, and ionotropic medications as needed. |
| first_indexed | 2024-04-10T19:46:57Z |
| format | Article |
| id | doaj.art-02937ddeb1414c00bad047bd4fc9f765 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:46:57Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-02937ddeb1414c00bad047bd4fc9f7652023-01-29T04:20:31ZengElsevierRadiology Case Reports1930-04332023-03-0118312611263Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case reportDanielle Fall, PA-C0Tyler Smith, MD1Ann Marie Prazak, PharmD2Ziga Cizman, MD3Aidin Iravani, MD4Department of Internal Medicine, Devision of Pulmonology and Critical Care Medicine, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USADepartment of Interventional Radiology, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USA; Corresponding author.Department of Pharmacy Services, University of Utah Health, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USADepartment of Interventional Radiology, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USADepartment of Internal Medicine, Devision of Pulmonology and Critical Care Medicine, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USAA 74-year-old female with history of type 2 diabetes, hypertension, and uterine adenocarcinoma presented for CT-guided lung biopsy that was ultimately complicated by an arterial air embolus requiring intensive care. Systemic air embolism is a very rare event but can be devastating. Prompt recognition can be difficult due to an often-vague presentation but is essential and should be considered upon rapid deterioration of a patient's status following high risk procedures. Hyperbaric oxygen therapy is preferred; however, if this is unavailable, additional treatments are predominately supportive care with 100% supplemental oxygen, rapid volume expansion, and ionotropic medications as needed.http://www.sciencedirect.com/science/article/pii/S1930043322011207Arterial air embolismPneumothoraxHyperbaric oxygen therapyLung biopsy |
| spellingShingle | Danielle Fall, PA-C Tyler Smith, MD Ann Marie Prazak, PharmD Ziga Cizman, MD Aidin Iravani, MD Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report Radiology Case Reports Arterial air embolism Pneumothorax Hyperbaric oxygen therapy Lung biopsy |
| title | Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report |
| title_full | Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report |
| title_fullStr | Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report |
| title_full_unstemmed | Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report |
| title_short | Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report |
| title_sort | acute decompensation of patient following an outpatient ct guided needle biopsy a case report |
| topic | Arterial air embolism Pneumothorax Hyperbaric oxygen therapy Lung biopsy |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322011207 |
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