Massive air embolism from continuous venovenous haemofiltration causing electromechanical dissociation in a cardiac surgical patient.
Crit Care Resusc
; 14(2): 154-8, 2012 Jun.
Article
en En
| MEDLINE
| ID: mdl-22697625
ABSTRACT
Venous air embolism is a rare but life-threatening complication of continuous venovenous haemofiltration. We report a case of massive venous air embolism associated with haemofiltration in a 75-year-old man after complicated cardiac surgery. Haemofiltration circuitry and air detector alarms are not infallible and air embolism should be considered in patients receiving such therapy who develop cardiopulmonary instability. We discuss our early intervention, which focused on restoration of the circulation, prevention of further air entry, retrieval of air and supportive care. The use of transoesophageal echocardiography for diagnosis of air embolism and to aid the insertion of a pulmonary artery catheter for air aspiration was essential for management.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Puente de Arteria Coronaria
/
Hemofiltración
/
Embolia Aérea
/
Lesión Renal Aguda
Tipo de estudio:
Etiology_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Crit Care Resusc
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Australia