Abstract
Venous air embolism during transurethral surgery is a rare event. There have been case reports in the anesthesia and urology literature of fatal air embolism during transurethral prostate resection and transurethral incision of the bladder neck. We present a case of nonfatal venous air embolism during transurethral prostate resection in which incorrect assembly of the bladder irrigation-resectoscope-drain system led to a rapid entrainment of air into the open venous channels of the prostate bed.
MeSH terms
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Aged
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Aged, 80 and over
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Blood Gas Analysis
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Catheterization
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Drainage / adverse effects
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Drainage / instrumentation
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Embolism, Air / diagnostic imaging
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Embolism, Air / etiology*
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Embolism, Air / therapy*
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Epinephrine / therapeutic use
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Equipment Failure
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Humans
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Intraoperative Complications / diagnostic imaging
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Intraoperative Complications / etiology*
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Intraoperative Complications / therapy*
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Male
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Therapeutic Irrigation / adverse effects
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Therapeutic Irrigation / instrumentation
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Transurethral Resection of Prostate / adverse effects*
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Ultrasonography
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Vasoconstrictor Agents / therapeutic use
Substances
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Vasoconstrictor Agents
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Epinephrine