Successful early intervention in air embolism during hysteroscopy

Journal of Clinical Anesthesia
R BehniaM Milad

Abstract

Hysteroscopy is used as a diagnostic tool for intrauterine pathology. Gas embolism with air or carbon dioxide is a rare but sometimes fatal complication of laparoscopy or hysteroscopy. We present a patient who developed pulmonary air embolism during hysteroscopy that caused a noncardiogenic pulmonary edema in the recovery room. This case report emphasizes that early intervention can prevent life-threatening events associated with pulmonary embolism during hysteroscopy. Pathophysiology of pulmonary gas embolism, as well as that of noncardiogenic pulmonary edema, is discussed. A protocol for the prevention, early detection, and management of this emergency is provided.

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Citations

May 8, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T Nishiyama, K Hanaoka
Dec 13, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ngozi ImasogieFrances Chung
Feb 27, 2004·Journal of Clinical Anesthesia·Jerome J GroveDavid R Drover
Nov 12, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·X DeffieuxF Pierre
Jun 9, 2012·Journal of Clinical Anesthesia·Ilya SabsovichApolonia E Abramowicz
Jun 17, 2000·Obstetrics and Gynecology Clinics of North America·J M Cooper, R M Brady
Mar 4, 2008·Journal of Minimally Invasive Gynecology·Frederick A GroenmanErica A Bakkum
Mar 20, 1999·Obstetrics and Gynecology Clinics of North America·K B Isaacson
Dec 31, 2014·Case Reports in Obstetrics and Gynecology·T MalaA F Jacobsen
Dec 23, 2016·Gynecological Surgery·Sameer UmranikarUNKNOWN British Society for Gynaecological Endoscopy /European Society for Gynaecological Endoscopy Guideline Development Group for

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