Chest
Opinions/HypothesesIs Emergency Thoracotomy Always the Most Appropriate Immediate Intervention for Systemic Air Embolism After Lung Trauma?
References (28)
- et al.
Systemic arterial air embolism in penetrating lung injury
Ann Thorac Surg
(1990) Air embolism following penetrating lung injuries
J Thorac Cardiovasc Surg
(1973)- et al.
Management of air embolism in blunt and penetrating thoracic trauma
J Thorac Cardiovasc Surg
(1983) - et al.
Fatal air embolism during thoracotomy for gunshot injury to the lung
J Thorac Cardiovasc Surg
(1975) - et al.
Combined systemic and pulmonary air embolism after penetrating chest injury
Injury
(1994) - et al.
Bone necrosis of the femoral head after thoracic trauma
Injury
(1994) Artificial pneumothorax in the treatment of pulmonary tuberculosis
JAMA
(1915)Air embolism following various diagnostic or therapeutic procedures in diseases of the pleura and the lung
Bull Johns Hopkins Hosp
(1922)- et al.
Left atrial air embolism during intraoperative needle biopsy of a deep pulmonary lesion
Anesthesiology
(1990) - et al.
Pulmonary venous air embolism: a hemodynamic reappraisal
Surgery
(1967)
Air embolism from the pulmonary vein: a clinical and experimental study
Arch Surg
Injection of air and carbon dioxide into a pulmonary vein
Ann Surg
Initial treatment of patients with extensive trauma
N Engl J Med
Systemic gas embolism complicating pulmonary contusion: diagnosis and management using transesophageal echocardiography
Am J Respir Crit Care Med
Cited by (30)
Two cases of fatal iatrogenic air embolism confirmed by autopsies
2021, Journal of Forensic and Legal MedicineCitation Excerpt :When an arterial air embolus progresses to the coronary or cerebral arteries, the situation become extremely dangerous. The lethal volume of an air embolus in the coronary arteries and cerebral arteries is much smaller than that in general: the lethal volume in the cerebral vessels is 2–3 ml, and that in the coronary arteries is 0.5–1 ml.10 The air accumulates in the right ventricle to form an airlock after entering the vessels.
Vascular air embolism: A silent hazard to patient safety
2017, Journal of Critical CareCrisis Management of Air Embolism in the OR
2015, AORN JournalCitation Excerpt :For example, during surgery, the major cerebral venous sinuses do not collapse and may remain open, thus creating a pathway for air movement. Even 2 mL to 3 mL of air injected into the cerebral circulation can be lethal in a surgical field with an open venous system (eg, craniotomy performed in the sitting position).6 In general, symptoms of a cerebral air embolism correlate with the absolute amount of embolic air or gas and the affected area of the brain.5
Fatal systemic air embolism after blunt chest trauma: Postmortem computed-tomography findings
2011, European Journal of Radiology ExtraCitation Excerpt :In case of chest trauma the injured lung must be isolated by selective lung ventilation and possibly by thoracotomy with hilum clamping. Placement of the patient in Trendelenburg position and right lateral decubitus may cause the air bubble to migrate towards hearts apex [5]. Thus, bubbles could aspirated if central venous catheterization has been made.
Diagnosis and Treatment of Deep Pulmonary Laceration With Intrathoracic Hemorrhage From Blunt Trauma
2010, Annals of Thoracic SurgeryTiming of tracheal intubation in traumatic cardiac tamponade: A word of caution
2009, ResuscitationCitation Excerpt :Meanwhile, administer 100% O2, gentle bag-valve-mask ventilation if required, minimal IV fluids, and immediately transfer the patient to the OR. If rapid deterioration quickly follows intubation and PPV, the differential diagnoses include: tamponade, hypovolaemia, air embolism, and tension pneumothorax or haemothorax.20,21 Note that major blood loss is not a prerequisite for hypotension due to tamponade, air embolism, or tension pneumothorax.20,21