[A probable fatal argon gas embolism during resection of a cutaneous biliary fistula - a case report]. / Provável embolia letal por gás argônio durante ressecção de fístula cutânea biliar relato de caso.
Braz J Anesthesiol
; 70(2): 175-177, 2020.
Article
em Pt
| MEDLINE
| ID: mdl-32482359
ABSTRACT
BACKGROUND:
The Argon Beam Coagulator (ABC) achieves hemostasis but has potential complications in the form of argon gas embolisms. Risk factors for embolisms have been identified and ABC manufacturers have developed guidelines for usage of the device to prevent embolism development. CASE REPORT A 49 year-old male with history of recurrent cholangiocarcinoma status post resection presented for resection of a cutaneous biliary fistula. Shortly after initial use of the ABC, the patient underwent cardiac arrest. After resuscitation, air bubbles were observed in the left ventricle via Transesophageal Echo (TEE).CONCLUSION:
Although argon embolisms have been described more commonly during laparoscopies, this patient most likely experienced an argon gas embolism during an open resection of a cutaneous biliary fistula via the biliary tract or vein with possible transpulmonary passage of the embolism. Consequently, a high degree of suspicion should be maintained for an argon gas embolism during ABC use in laparoscopic, open, and cutaneous surgeries.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fístula Biliar
/
Fístula Cutânea
/
Embolia Aérea
/
Coagulação com Plasma de Argônio
/
Complicações Intraoperatórias
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Pt
Revista:
Braz J Anesthesiol
Ano de publicação:
2020
Tipo de documento:
Article