Canadian Anaesthetists’ Society Journal

, Volume 18, Issue 6, pp 665–674 | Cite as

Hyperbaric treatment of cerebral air embolism: A report of a case following cardiac catheterization

  • R. K. Calverley
  • W. A. Dodds
  • W. G. Trapp
  • L. C. Jenkins


Hyperbaric medicine provides the definitive treatment for cerebral air embolism. First consideration must be given to the prevention of this complication in every situation where the patient may be exposed to this hazard. Once an embolus has occurred, supportive measures should be instituted promptly. If possible, the patient should be transferred to a hyperbaric unit. Experimental and clinical evidence demonstrate that remarkable improvement may follow hyperbaric therapy, even when there is a delay of several hours before treatment is initiated.


Pulmonary Vein CANADIAN Anaesthetist Hyperbaric Chamber Hyperbaric Treatment Hyperbaric Medicine 
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  1. 1.
    Lanphier, E. H. Fundamentals of Hyperbaric Medicine, Washington,D.C., Nat. Acad. Sc. Nat. Res. Council Publication 1298, p. 102 (1966).Google Scholar
  2. 2.
    Horowitz, N. H. &Rizzoli, H. V. Postoperative Complications in Neurosurgical Practice. Baltimore, The Williams and Wilkins Co., p. 332 (1967).Google Scholar
  3. 3.
    Allen, P. Central Nervous System Emboli in Open Heart Surgery. Canad. J. Surg.,6: 332 (1963).PubMedGoogle Scholar
  4. 4.
    Nicks, R. Arterial Air Embolism. Thorax,22: 320 (1967).PubMedCrossRefGoogle Scholar
  5. 5.
    Chase, W. H. Anatomical and Experimental Observations on Air Embolism. Surg. Gynec. & Obst.,59: 569 (1934).Google Scholar
  6. 6.
    Schattenberg, H. J. &Ziskin, J. Air Embolism as a Complication of Artificial Pneumothorax. Am. J. Clin. Path.,9: 477 (1939).Google Scholar
  7. 7.
    Rapin, M.; Goulon, M. & Jouailhat, F.: Four Cases of Post Abortal Neurologic Accident Treated with Hyperbaric Oxygenation. Proc. of Third Int. Conf. on Hyperbaric Med., 1965, Washington,dc, Nat. Acad. Sc. Nat. Res. Council of Washington,dc (1966).Google Scholar
  8. 8.
    Ponsky, J. L. &Pories, W. J. Paradoxical Cerebral Air Embolism (correspondence) N. Engl. J. Med.,284: 985 (1971).PubMedGoogle Scholar
  9. 9.-om
    -Ibid.Ponsky, J. L. &Pories, W. J. Paradoxical Cerebral Air Embolism (correspondence) N. Engl. J. Med.,284: 985 (1971).PubMedGoogle Scholar
  10. 10.
    Emerson, L. V.;Hempleman, H. V.; &Lenile, R. G. Passage of Gaseous Emboli through the Pulmonary Circulation. Resp. Physiol.,3: 213 (1967).CrossRefGoogle Scholar
  11. 11.
    Vourc'h, G. Paradoxical Air Embolism (correspondence). N. Engl. J. Med.,285: 56 (1971).PubMedGoogle Scholar
  12. 12.
    Smith, F. R. Air Embolism as a Cause of Death in Scuba Diving in the Pacific Northwest. Dis. Chest,52: 15 (1967).PubMedCrossRefGoogle Scholar
  13. 13.
    Kidd, D. J. Personal Communication.Google Scholar
  14. 14.
    Lanphier, E. Management of Sports Diving Accidents.NY State J. Med.,63: 667 (1963).Google Scholar
  15. 15.
    Smith, F. R. Dis. Chest,52: 15 (1967).PubMedCrossRefGoogle Scholar
  16. 16.
    Cooperman, E. M.;Hogg, J.; &Thurlbeck, W. M. Mechanism of Death in Shallow-Water Scuba Diving. Canad. M. A. J.,99: 112 (1969).Google Scholar
  17. 17.
    Chase, W. H. Surg. Gynec. & Obst.,59: 569 (1934).Google Scholar
  18. 18.
    Wong, R. T. Air Emboli in the Retinal Arteries. Report of a case. Arch. Ophth.,25: 149 (1941).Google Scholar
  19. 19.
    Fries, G. C.;Levowitz, B.;Adler, S.;Cook, A. W.;Karlson, K. E.; &Dennis, C. Experimental Cerebral Gas Embolism. Ann. Surg.,145: 461 (1957).PubMedCrossRefGoogle Scholar
  20. 20.
    Rakstinat, G. Experimental Air Embolism of the Coronary Arteries. J.A.M.A.,96: 26 (1931).Google Scholar
  21. 21.
    Pollock, M. Air Embolus. Am. Rev. Tubuc.,28: 187 (1933).Google Scholar
  22. 22.
    Rukstinat, G. &LeCount, E. R. Air in Coronary Arteries. J.A.M.A.,91: 1776 (1928).Google Scholar
  23. 23.
    Fries, C. C. Ann. Surg.,145: 461 (1957).PubMedCrossRefGoogle Scholar
  24. 24.
    Meijne, N. G.;Schoemaker, G.; &Bulterijs, A. B. The Treatment of Cerebral Gas Embolism in a High Pressure Chamber. An Experimental Study. J. Cardiovas. Surg.,4: 757 (1963).Google Scholar
  25. 25.
    Iwa, T.;Fell, E. H.; &Weinberg, M. Effects of Hyperbaric Oxygen Therapy on Cerebral Air Embolism. (Abstract) Dis. Chest.,50: 333 (1966).Google Scholar
  26. 26.
    Saidman, L. J. &Eger, E. I. Change in Cerebrospinal Fluid Pressure During Pneumoencephalography Under Nitrous Oxide Anaesthesia. Anaesthesiology,26: 67 (1965).CrossRefGoogle Scholar
  27. 27.
    Munson, E. Effect of Nitrous Oxide on the Pulmonary Circulation During Venous Air Embolism. Paper presented at 45th Congress of the International Anaesthesia Research Society — March (1971).Google Scholar
  28. 28.
    us Navy Diving Manual. Navships 250–538, Washington,dc. us Government Printing Office (1963).Google Scholar
  29. 29.
    Rivera, J. C. &Dennison, W. L. Gas Embolism and Related Accidents. Diving Medicine Notebook. Groton, Connecticut, Naval Submarine Medical Centre, p. 203 (1966).Google Scholar
  30. 30.
    Van Genderen, L. &Waite, C. L. Treatment of Traumatic Cerebral Air Embolism. Aerospace Med.,39: 709 (1968).PubMedGoogle Scholar
  31. 31.
    Price, M. J. Personal Communication.Google Scholar
  32. 32.
    Edmonds-Seal, J. &Maroon, J. C. Air Embolism Diagnosed with Ultrasound Anaesthesia, Anaesthesia,24: 438 (1969).PubMedCrossRefGoogle Scholar
  33. 33.
    Takita, J. H.;Olszewski, W.;Schimert, G.; &Lanphier, E. H. Hyperbaric Treatment of Cerebral Air Embolism as a Result of Open-Heart Surgery. J. Thorax. Cardiovasc. Surg.,55: 682 (1968).Google Scholar
  34. 34.
    Winter, P. M.; Gage, A. A.; & Alvis, H. J. Cerebral Air Embolism Occuring During Cardiopulmonary Bypass Treated with Hyperbaric Oxygenation. Report of Three Cases. Proceedings of the Fourth International Congress on Hyperbaric Medicine, Tokyo, Igaku Shoin Ltd, p. 360 (1970).Google Scholar

Copyright information

© Canadian Anesthesiologists 1971

Authors and Affiliations

  • R. K. Calverley
    • 1
  • W. A. Dodds
    • 1
  • W. G. Trapp
    • 1
  • L. C. Jenkins
    • 1
  1. 1.Department of Anaesthesiology and the Hyperbaric Research Unit of the University of British ColumbiaCanada

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