Retrograde cerebral perfusion and delayed hyperbaric oxygen for massive air embolism during cardiac surgery

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Retrograde cerebral perfusion and delayed hyperbaric oxygen for massive air embolism during cardiac surgery.

We report a case of massive air embolism from a ventricular vent line during cardiac surgery successfully treated with emergent retrograde cerebral perfusion and delayed hyperbaric oxygen therapy. The etiologies of this rare but potentially devastating complication are discussed along with prevention and treatment options.

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UNLABELLED Retrograde cerebral perfusion (RCP) potentially delivers metabolic substrate to the brain during surgery using hypothermic circulatory arrest (HCA). Serial measurements of O2 extraction ratio (OER), PCO2, and pH from the RCP inflow and outflow were used to determine the time course for O2 delivery in 28 adults undergoing aortic reconstruction using HCA with RCP. HCA was instituted af...

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Case reports: hyperbaric oxygen therapy for the treatment of cerebral air embolism.

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2008

ISSN: 1569-9293

DOI: 10.1510/icvts.2008.194472