Secondary deterioration in a patient with cerebral and coronary arterial gas embolism after brief symptom resolution: a case report.
Diving Hyperb Med
; 54(1): 61-64, 2024 Mar 31.
Article
em En
| MEDLINE
| ID: mdl-38507911
ABSTRACT
Introduction:
Hyperbaric oxygen treatment (HBOT) is recommended for arterial gas embolism (AGE) with severe symptoms. However, once symptoms subside, there may be a dilemma to treat or not. Case presentation A 71-year-old man was noted to have a mass shadow in his left lung, and a transbronchial biopsy was performed with sedation. Flumazenil was intravenously administered at the end of the procedure. However, the patient remained comatose and developed bradycardia, hypotension, and ST-segment elevation in lead II. Although the ST changes spontaneously resolved, the patient had prolonged disorientation. Whole- body computed tomography revealed several black rounded lucencies in the left ventricle and brain, confirming AGE. The patient received oxygen and remained supine. His neurological symptoms gradually improved but worsened again, necessitating HBOT. HBOT was performed seven times, after which neurological symptoms resolved almost completely.Conclusions:
AGE can secondarily deteriorate after symptoms have subsided. We recommend that HBOT be performed promptly once severe symptoms appear, even if they resolve spontaneously.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Embolia Aérea
/
Oxigenoterapia Hiperbárica
Limite:
Aged
/
Humans
Idioma:
En
Revista:
Diving Hyperb Med
Ano de publicação:
2024
Tipo de documento:
Article