Successful early intervention in air embolism during hysteroscopy

被引:13
作者
Behnia, R
Holley, HS
Milad, M
机构
[1] Department of Anesthesia, NW University Medical School, Chicago, IL
[2] Department of Anesthesia, NW University Medical School, Chicago, IL 60611
关键词
carbon dioxide; end-tidal; edema; pulmonary; embolism; hysteroscopy;
D O I
10.1016/S0952-8180(97)00025-1
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Hysteroscopy is used as a diagnostic tool for intrauterine pathology. Gas embolism with air or carbon dioxide is a rare but sometimes fatal complication of laparoscopy or hysteroscopy. We present a patient who developed pulmonary air embolism during hysteroscopy that caused a noncardiogenic pulmonary edema in the recovery room. This case report emphasizes that early intervention can prevent life-threatening events associated with pulmonary embolism during hysteroscopy. Pathophysiology of pulmonary gas embolism, as well as that of noncardiogenic pulmonary edema, is discussed. A protocol for the prevention, early detection, and management of this emergency is provided. (C) 1997 by Elsevier Science Inc.
引用
收藏
页码:248 / 250
页数:3
相关论文
共 19 条
[1]  
BAGGISH MS, 1989, AM J OBSTET GYNECOL, V161, P877
[2]   CARBON-DIOXIDE EMBOLISM FOLLOWING DIAGNOSTIC HYSTEROSCOPY [J].
BRINK, DM ;
DEJONG, P ;
FAWCUS, S ;
MAROT, N .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1994, 101 (08) :717-718
[3]  
CLARK MC, 1984, AM REV RESPIR DIS, V129, P633
[4]   Gynecologic endoscopic gas embolism [J].
Corson, SL ;
Brooks, PG ;
Soderstrom, RM .
FERTILITY AND STERILITY, 1996, 65 (03) :529-533
[5]   CARBON-DIOXIDE EMBOLISM - SUCCESSFUL RESUSCITATION WITH CARDIOPULMONARY BYPASS [J].
DIAKUN, TA .
ANESTHESIOLOGY, 1991, 74 (06) :1151-1153
[6]   LEUKOCYTES ARE REQUIRED FOR INCREASED LUNG MICRO-VASCULAR PERMEABILITY AFTER MICROEMBOLIZATION IN SHEEP [J].
FLICK, MR ;
PEREL, A ;
STAUB, NC .
CIRCULATION RESEARCH, 1981, 48 (03) :344-351
[7]   SUPEROXIDE-DISMUTASE WITH HEPARIN PREVENTS INCREASED LUNG VASCULAR-PERMEABILITY DURING AIR EMBOLI IN SHEEP [J].
FLICK, MR ;
HOEFFEL, JM ;
STAUB, NC .
JOURNAL OF APPLIED PHYSIOLOGY, 1983, 55 (04) :1284-1291
[8]   ACUTE POSTOBSTRUCTIVE PULMONARY-EDEMA [J].
GUFFIN, TN ;
HAREL, G ;
SANDERS, A ;
LUCENTE, FE ;
NASH, M .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1995, 112 (02) :235-237
[9]  
HILLDW, 1980, PHYSICS APPL ANESTHE, P209
[10]  
HULKA JF, 1993, J REPROD MED, V38, P572