[Gas embolism: another story related to a central venous catheter withdraw]

A De Jong; B Jung; M Cissé; G Chanques; S Jaber

doi:10.1016/j.annfar.2011.01.006

[Gas embolism: another story related to a central venous catheter withdraw]

Ann Fr Anesth Reanim. 2011 Apr;30(4):366-8. doi: 10.1016/j.annfar.2011.01.006. Epub 2011 Feb 15.

[Article in French]

Authors

A De Jong¹, B Jung, M Cissé, G Chanques, S Jaber

Affiliation

¹ Département d'anesthésie-réanimation Saint-Eloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier, France.

PMID: 21324637
DOI: 10.1016/j.annfar.2011.01.006

Abstract

Paradoxical gas embolism is rare but life threatening complication of central venous access. In this observation, we report a paradoxical gas embolism accompanied by an acute respiratory failure and a coma following a jugular central venous access withdrawal in a liver transplanted patient. Following this observation, we discuss the prevention of gas embolism accidents and the hyperbaric oxygen therapy for its management.

Publication types

Case Reports

MeSH terms

Anastomosis, Surgical
Catheterization, Central Venous / adverse effects*
Embolism, Air / diagnostic imaging
Embolism, Air / etiology*
Embolism, Air / therapy
Embolism, Paradoxical / diagnostic imaging
Embolism, Paradoxical / etiology*
Embolism, Paradoxical / therapy
Fatal Outcome
Hemophilia B / complications
Hepatic Artery / surgery
Hepatitis C / surgery
Humans
Hyperbaric Oxygenation
Liver Cirrhosis / surgery
Liver Transplantation
Male
Middle Aged
Postoperative Complications / therapy
Respiratory Insufficiency / etiology
Respiratory Insufficiency / therapy
Ultrasonography