INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr
<p><strong>Background:</strong> Posterior fossa surgery and cervical spine surgery are at risk for venous air embolism (VAE) occurrence. Mostly air emboli are small and asymptomatic, but invasion of large quantity of air in the circulation is symptomatic and potentially lethal. Tra...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2015-10-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1274 |
| _version_ | 1818838842089668608 |
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| author | Alenka Spindler Vesel Nina Pirc Božidar Visočnik Jasmina Markovič - Božič |
| author_facet | Alenka Spindler Vesel Nina Pirc Božidar Visočnik Jasmina Markovič - Božič |
| author_sort | Alenka Spindler Vesel |
| collection | DOAJ |
| description | <p><strong>Background:</strong> Posterior fossa surgery and cervical spine surgery are at risk for venous air embolism (VAE) occurrence. Mostly air emboli are small and asymptomatic, but invasion of large quantity of air in the circulation is symptomatic and potentially lethal. Transesophageal echocardiography is the most sensitive method for detection of air emboli in the heart, followed by the precordial Doppler probe, end tidal carbon dioxide monitoring (etCO<sub>2</sub>) and others.</p><p><strong>Methods:</strong> In our 14- years retrospective review we evaluated the incidence of VAE and postoperative complications in patients with posterior fossa surgery or cervical spine surgery. VAE was recognized by using Doppler probe and/or drop of etCO<sub>2</sub>. If VAE occurred, aspiration of air through the CVC was used to prevent or to minimized VAE occurrence, the surgeon was warned about the incident. VAE treatment was supportive.</p><p><strong>Results:</strong> VAE was recognized in 74 patients. Two patients after head surgery and four patients after neck surgery needed postoperative treatment in intensive care unit and controled mechanical ventilation. In six patients after head surgery and in four patients after neck surgery new neurological symptoms occurred. Two patients after head surgery died due to complications of massive VAE.</p><h3><strong>Conclusions:</strong> VAE is rare, but serious complication of neurosurgery in sitting position. Preventive treatment, early detection of VAE, supportive treatment and treatment of cardiovascular complications are necessary for survival of patients with VAE.</h3> |
| first_indexed | 2024-12-19T03:44:49Z |
| format | Article |
| id | doaj.art-345fe4d5967c41cb81437a61a98b0232 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-19T03:44:49Z |
| publishDate | 2015-10-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-345fe4d5967c41cb81437a61a98b02322022-12-21T20:37:10ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242015-10-018491035INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU SkrAlenka Spindler Vesel0Nina Pirc1Božidar Visočnik2Jasmina Markovič - Božič3University Medical Center LjubljanaUniversity Medical Center LjubljanaUniversity Medical Center LjubljanaUniversity Medical Center Ljubljana<p><strong>Background:</strong> Posterior fossa surgery and cervical spine surgery are at risk for venous air embolism (VAE) occurrence. Mostly air emboli are small and asymptomatic, but invasion of large quantity of air in the circulation is symptomatic and potentially lethal. Transesophageal echocardiography is the most sensitive method for detection of air emboli in the heart, followed by the precordial Doppler probe, end tidal carbon dioxide monitoring (etCO<sub>2</sub>) and others.</p><p><strong>Methods:</strong> In our 14- years retrospective review we evaluated the incidence of VAE and postoperative complications in patients with posterior fossa surgery or cervical spine surgery. VAE was recognized by using Doppler probe and/or drop of etCO<sub>2</sub>. If VAE occurred, aspiration of air through the CVC was used to prevent or to minimized VAE occurrence, the surgeon was warned about the incident. VAE treatment was supportive.</p><p><strong>Results:</strong> VAE was recognized in 74 patients. Two patients after head surgery and four patients after neck surgery needed postoperative treatment in intensive care unit and controled mechanical ventilation. In six patients after head surgery and in four patients after neck surgery new neurological symptoms occurred. Two patients after head surgery died due to complications of massive VAE.</p><h3><strong>Conclusions:</strong> VAE is rare, but serious complication of neurosurgery in sitting position. Preventive treatment, early detection of VAE, supportive treatment and treatment of cardiovascular complications are necessary for survival of patients with VAE.</h3>http://vestnik.szd.si/index.php/ZdravVest/article/view/1274air embolism, sitting position, neurosurgical procedure, incidence of VAE, complications of VAE |
| spellingShingle | Alenka Spindler Vesel Nina Pirc Božidar Visočnik Jasmina Markovič - Božič INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr Zdravniški Vestnik air embolism, sitting position, neurosurgical procedure, incidence of VAE, complications of VAE |
| title | INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr |
| title_full | INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr |
| title_fullStr | INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr |
| title_full_unstemmed | INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr |
| title_short | INCIDENCE OF VENOUS AIR EMOLISM AND POSTOPERATIVE COMPLICATION IN NEUROSURGERY IN SITTING POSITION (VENOUS AIR EMOLISM IN NEUROSURGERY IN SITTING POSITION)POGOSTOST ZRAČNE EMBOLIJE IN POOPERATIVNI ZAPLETI PRI NEVROKIRURŠKIH POSEGIH V SEDEČEM POLOŽAJU Skr |
| title_sort | incidence of venous air emolism and postoperative complication in neurosurgery in sitting position venous air emolism in neurosurgery in sitting position pogostost zracne embolije in pooperativni zapleti pri nevrokirurskih posegih v sedecem polozaju skr |
| topic | air embolism, sitting position, neurosurgical procedure, incidence of VAE, complications of VAE |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1274 |
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