Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
-
Korean J Anesthesiol. 2014 Nov;67(5):350-353. English. Case Report. https://doi.org/10.4097/kjae.2014.67.5.350
Shin S , Nam B , Soh S , Koo BN .
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea. koobn@yuhs.ac
Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.
Abstract

We report a case of possible venous air embolism (VAE) during trans pars plana vitrectomy with air-fluid exchange of the vitreous cavity. Shortly after initiation of air-fluid exchange, decreases in end-tidal CO2, oxygen saturation, and blood pressure were observed. The patient rapidly progressed to cardiac arrest unresponsive to cardiopulmonary resuscitation, and recovered after the application of percutaneous cardiopulmonary support. Prompt termination of air infusion is needed when VAE is suspected during air-fluid exchange, and extracorporeal life support should be considered in fatal cases. Although the incidence is rare the possibility of VAE during ophthalmic surgery clearly exists, and therefore awareness and vigilant monitoring seem critical.

Copyright © 2019. Korean Association of Medical Journal Editors.