Systemic Air Embolism during ERCP with Full Recovery
Journal Title: International Journal of Anesthetics and Anesthesiology - Year 2016, Vol 3, Issue 4
Abstract
Air embolism during gastrointestinal endoscopy procedures is a rare phenomenon but can lead to a catastrophic and fatal event resulting from cardiovascular collapse and neurological injury. Oftentimes, the diagnosis is difficult because the cardiovascular and neurologic symptoms are not specific to systemic air embolism. High index of suspicion with early recognition and treatment is crucial in improving patient outcome. We present a case of cardiac arrest secondary to systemic air embolism during endoscopic retrograde cholangiopancreatography with biliary stent placement which resulted in a good outcome due to early recognition of air embolism and prompt treatment.
Perioperative Management of Patients Refusing Blood Products
The Jehovah's Witnesses are best known to outsider for their refusal of blood products, even such a refusal may result in death. In years, a "bloodless surgery" was developed with the aim of avoid blood transfusions and...
Trachway Intubating Stylet Facilitates the Double-Lumen Endobronchial Tube Placement in Patients with Limited Mouth Opening
Intubation for one lung ventilation in patients with difficult airways can be a challenge. Severely limited mouth opening restricts the use of direct laryngoscopy or video-assisted laryngoscopy. We present two patients w...
Timely Detection of Epidural Catheter Migration: Diagnosis and Management: A Case Report
Epidural catheters that are commonly placed for anaesthesia or analgesia have a serious complication of migration. Besides intravascular local anaesthetic infusion which could lead to systemic toxicity, a subdural migrat...
Anesthesiologists as Operating Room Directors: Results of a Survey
Background: Many ideas have gone into the development of the concept of the Perioperative Surgical Home (PSH) and Enhanced Recovery after Surgery (ERAS). Many anesthesiologists have advocated for an increased role in ope...
Which Guidance Method during Tracheotomy Procedure in Patients with Short Neck in the ICU?: A Prospective Randomized Study
Purpose: Utilization of fiber optic video bronchoscope (F) alone vs. in combination with ultrasound (U + F) during tracheotomy procedures for patients with remarkable short necks. Materials and methods: Nineteen patient...