Paradoxical gas embolism during hysteroscopy

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Gas embolism during hysteroscopy.

PURPOSE Gas embolism during hysteroscopy is rare but sometimes fatal. A fatal case of gas embolism during diagnostic hysteroscopy using carbon dioxide (CO2) is presented. CLINICAL FEATURES A 68 yr old woman was admitted for treatment of myoma and cancer of the uterus. Hysteroscopy using CO2 was performed without monitoring or anesthesia on the ward. At the end of the examination, just after t...

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Intracerebral hemorrhage related to systemic gas embolism during hysteroscopy.

Iatrogenic gas embolism is a rare but serious problem that has been documented in almost all medical specialties including gynecology. We present a 49-year-old woman undergoing operative hysteroscopy and myomectomy, who sustained sudden hypotension and decrease in the end-tidal carbon dioxid levels during the procedure. Systemic gas embolism was confirmed by echocardiographic evidence of bubble...

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Paradoxical air embolism during hepatic resection.

Systemic venous air embolism is a serious complication in patients with chronic liver disease having liver surgery. Intrapulmonary arteriovenous shunting can permit air emboli to pass into the systemic circulation. We describe a case of paradoxical air embolism detected by transoesophageal echocardiography in a patient with cirrhosis who was having a hepatic resection.

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Fatal paradoxical air embolism during liver transplantation.

We describe a case of fatal paradoxical coronary air embolism during liver transplantation. The literature on the diagnosis and prophylaxis of paradoxical air embolism during liver transplantation is reviewed and discussed.

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Paradoxical embolism

RATIONALE Paradoxical embolism (PDE) refers to direct passage of venous thrombi into the arterial circulation through an arteriovenous shunt. PATIENT CONCERNS Case 1 presented with initial symptoms of shock and cerebral infarction. Case 2 developed middle cerebral artery occlusion during angiography. DIAGNOSES 2 cases were diagnosed as PDE. INTERVENTIONS They received thrombolytic therapy...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2008

ISSN: 0007-0912

DOI: 10.1093/bja/aen284