Air Embolism during Spinal Fusion: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 777-780, 1998.
Article
in Korean
| WPRIM
| ID: wpr-87422
ABSTRACT
Fatal air embolism can occur during a variety of surgical procedures. We experienced a case of cardiac arrest due to venous air embolism during spinal fusion. A 63-year-old woman underwent spinal fusion for compression fracture on L1 and scolio-kyphosis. Anesthetic induction and initial intraoperative course were completely uneventful until precipitous blood pressure drop occurred, and accompanied by a significant decrease in heart rate and cardiac arrest after use of bone cement. Although more common intraoperative events were presumed and treatment initiated, venous air embolism was considered the etiology of these events when whirring noise was detected by esophageal sthetoscope and a transient decrease in end-tidal carbon dioxide tension was noted by capnometer. We performed cardiac resuscitation with external cardiac compression, various cardiotonic drugs, and removal of air through the right internal jugular venous catheter, but the result was unsuccessful.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Resuscitation
/
Spinal Fusion
/
Blood Pressure
/
Carbon Dioxide
/
Cardiotonic Agents
/
Embolism, Air
/
Fractures, Compression
/
Catheters
/
Heart Arrest
/
Heart Rate
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1998
Type:
Article
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