Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success
Venous air embolism (VAE), though, clinically benign in majority of cases, the significant ones can lead to life-threatening cardiopulmonary and neurological consequences. Though studies mention the success rate of only 6 to 16% in aspirating air from the central venous catheter (CVC) during VAE, th...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-09-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748840 |
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| author | Ankur Khandelwal Sudhansu S. Nayak Anshil Bhatia Amit K. Shrivastava Vikas Bhardwaj |
| author_facet | Ankur Khandelwal Sudhansu S. Nayak Anshil Bhatia Amit K. Shrivastava Vikas Bhardwaj |
| author_sort | Ankur Khandelwal |
| collection | DOAJ |
| description | Venous air embolism (VAE), though, clinically benign in majority of cases, the significant ones can lead to life-threatening cardiopulmonary and neurological consequences. Though studies mention the success rate of only 6 to 16% in aspirating air from the central venous catheter (CVC) during VAE, the technique is very specific for diagnosing VAE and has high therapeutic significance. We report a case in which delayed aspiration of air emboli from the CVC in suspected massive VAE during decompressive craniectomy resulted in rapid resolution of hemodynamic instability. If not inserted previously, CVC may be considered in a hemodynamically unstable patient with suspected VAE. |
| first_indexed | 2024-04-10T20:52:05Z |
| format | Article |
| id | doaj.art-24336001bf4b48d2a6293373e2a7de00 |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-04-10T20:52:05Z |
| publishDate | 2022-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-24336001bf4b48d2a6293373e2a7de002023-01-23T09:33:23ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2022-09-01090319820010.1055/s-0042-1748840Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic SuccessAnkur Khandelwal0Sudhansu S. Nayak1Anshil Bhatia2Amit K. Shrivastava3Vikas Bhardwaj4Department of Anaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, IndiaDepartment of Anesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences and Ram Manohar Lohia Hospital, New Delhi, IndiaDepartment of Anaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, IndiaDepartment of Neurosurgery, Neurosciences Centre, Sharda University School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, IndiaDepartment of Neurosurgery, Neurosciences Centre, Sharda University School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, IndiaVenous air embolism (VAE), though, clinically benign in majority of cases, the significant ones can lead to life-threatening cardiopulmonary and neurological consequences. Though studies mention the success rate of only 6 to 16% in aspirating air from the central venous catheter (CVC) during VAE, the technique is very specific for diagnosing VAE and has high therapeutic significance. We report a case in which delayed aspiration of air emboli from the CVC in suspected massive VAE during decompressive craniectomy resulted in rapid resolution of hemodynamic instability. If not inserted previously, CVC may be considered in a hemodynamically unstable patient with suspected VAE.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748840air embolismcentral venous cathetershemodynamicneurosurgery |
| spellingShingle | Ankur Khandelwal Sudhansu S. Nayak Anshil Bhatia Amit K. Shrivastava Vikas Bhardwaj Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success Journal of Neuroanaesthesiology and Critical Care air embolism central venous catheters hemodynamic neurosurgery |
| title | Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success |
| title_full | Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success |
| title_fullStr | Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success |
| title_full_unstemmed | Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success |
| title_short | Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success |
| title_sort | delayed aspiration of air emboli from the central venous catheter in a case of suspected massive venous air embolism a therapeutic success |
| topic | air embolism central venous catheters hemodynamic neurosurgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748840 |
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