We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hyperbare Sauerstofftherapie bei iatrogener arterieller Gasembolie nach CT-gesteuerter Lungenbiopsie : Eine Kasuistik.
- Authors
Hellinger, L.; Keppler, A. M.; Schoeppenthau, H.; Perras, J.; Bender, R.
- Abstract
Iatrogenic arterial gas embolism (AGE) can be life-threatening. The only causal treatment is immediate hyperbaric oxygen therapy (HBOT). This article reports on a case of a 74-year-old male patient who underwent computed tomography (CT)-guided lung biopsy of suspect nodules after squamous cell carcinoma of the tonsils. During puncture, sudden cardiovascular arrest occurred. The CT scan documented severe arterial gas embolism in the aorta, spinal canal, left heart ventricle, and brain. The patient was then transferred to our hospital for HBOT. After the first HBOT, an additional CT scan showed regression of all gas inclusions. In the treatment of gas embolism, HBOT is considered the gold standard and is indispensable. It is primarily used to reduce acute bubble effects and to avoid secondary bubble effects. Unfortunately, the long persisting gas occlusions and perfusion deficits led to severe hypoxic brain damage and a poor prognosis for the patient. In this case report we present the management of (iatrogenic) arterial gas embolism and point out the necessity of immediate HBOT. Furthermore, we discuss the pathophysiology leading to arterial gas embolism on the basis of the gas laws.
- Subjects
HYPERBARIC oxygenation; ARTERIAL gas embolism; LUNG biopsy; SQUAMOUS cell carcinoma; IATROGENIC diseases; COMPUTED tomography
- Publication
Anaesthesist, 2019, Vol 68, Issue 7, p456
- ISSN
0003-2417
- Publication type
journal article
- DOI
10.1007/s00101-019-0618-7