医源性静脉气体栓塞(VGE)临床表现的完全恢复归功于及时的高压氧治疗(HBOT)

V. Zanon, S. Magri, G. Bonera, E. Camporesi
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引用次数: 0

摘要

气体栓塞是一种潜在的致命事件,其中气泡被引入动脉/静脉循环。多灶性缺血可能是危及生命的情况,发生在与潜水相关的活动,或肺气压损伤,甚至是可能导致意外气体进入血管的医源性手术之后。这里报告的病例涉及到这些罕见病例之一的良好结果,这要归功于对正在进行的气体病变的及时诊断和适当管理。不幸的是,在一般的高压医学中考虑可行的随机临床试验(rct)在伦理和技术上仍然很复杂,在这种情况下更是如此。我们很高兴分享这一进一步的有利结果,因为我们相信,这要归功于越来越多的临床证据,现在任何人,如果必须患有气体栓塞,在RCT的存在下,都更愿意被纳入可以利用高压氧(HBO)治疗的手臂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complete Recovery of an Iatrogenic Venous Gaseous Embolism (VGE) Clinical Presentation Thanks to a Timely Hyperbaric Oxygen Therapy (HBOT) Treatment
Gas embolism is a potentially fatal occurrence in which bubbles are introduced into the arterial/venous circulation. A multifocal ischemia could be the life-threatening scenario of that and occurring after diving-related activities, or pulmonary barotrauma, or even iatrogenic procedure capable to cause an accidental introduction of gas into the vasculature. The case here reported concerns the good outcome of one of these rare occurrences thanks to a prompt diagnosis and proper management of the ongoing gaseous lesion. Unfortunately, it remains ethically and technically complex to consider feasible Randomized Clinical Trials (RCTs) in hyperbaric medicine in general, and even more so in this type of eventuality. We are happy to share this further favorable result as we believe it is just thanks to growing documented clinical evidence that now anyone, if ever had to be suffering from gas embolism, in presence of a RCT would widely prefer to be included in the arm that can take advantage of oxygen hyperbaric (HBO) therapy.
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