疑似大面积静脉空气栓塞的中心静脉导管延迟抽吸空气栓塞1例:治疗成功

IF 0.2 Q4 ANESTHESIOLOGY

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI:10.1055/s-0042-1748840

Ankur Khandelwal, S. Nayak, Anshil Bhatia, Amit K. Shrivastava, Vikas Bhardwaj

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引用次数: 0

摘要

静脉空气栓塞(VAE)，虽然在临床上大多数情况下是良性的，但严重的可导致危及生命的心肺和神经系统后果。虽然有研究指出，在VAE过程中，从中心静脉导管(CVC)吸入空气的成功率仅为6%至16%，但该技术对VAE的诊断具有很强的特异性，具有很高的治疗意义。我们报告一例在开颅减压术中疑似大量VAE的CVC延迟吸入空气栓塞导致血流动力学不稳定的快速解决。如果之前没有插入CVC，在血流动力学不稳定的疑似VAE患者中可以考虑CVC。

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Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success

Abstract 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.

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来源期刊

Journal of Neuroanaesthesiology and Critical Care Medicine-Critical Care and Intensive Care Medicine

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

15 weeks