Advertisement

Air Embolism

  • Donald Oxorn
Chapter
  • 224 Downloads

Abstract

The patient who sustains thoracic trauma can suffer catastrophic air embolism, at any point in his or her hospital course, from treatment in the field, through the emergency room and operating room, to the intensive care unit. In this chapter, I will review the pathophysiology and diagnosis of both venous and arterial air embolism, review the mechanisms of their occurrence in the thoracic trauma patient, and conclude with suggestions for prevention of this devastating complication.

Keywords

Left Atrial Thoracic Trauma Transesophageal Echocardiogram Interstitial Emphysema Pulmonary Interstitial Emphysema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected References

  1. Argyros GJ. Management of primary blast injury. Toxicology 1997; 121: 105–15.PubMedCrossRefGoogle Scholar
  2. Estrera AS, Pass LJ, Piatt MR. Systemic arterial air embolism in penetrating lung injury. Ann Thorac Surg 1990; 50: 257–61.PubMedCrossRefGoogle Scholar
  3. Ho AM. Lung isolation for the prevention of air embolism in penetrating lung trauma. A case report. Can J Anesth 2000; 47: 1256–8.PubMedCrossRefGoogle Scholar
  4. Ho AM, Ling E. Systemic air embolism after lung trauma. Anesthesiology 1999; 90: 564–75.PubMedCrossRefGoogle Scholar
  5. Ho AM. Is emergency thorocotomy always the most appropriate immediate intervention for systemic air embolism after lung trauma? Chest 1999; 116: 234–7.PubMedCrossRefGoogle Scholar
  6. King MW, Aitchison LM, Nel JP. Fatal air embolism following lung trauma: An autopsy study. J Trauma 1984; 24: 753–5.PubMedCrossRefGoogle Scholar
  7. Muth CM, Shank ES. Gas embolism. N Engl J Med 2000; 342: 476–82.PubMedCrossRefGoogle Scholar
  8. Saada M, Goarin JP, Riou B, Rouby J J, Jacquens Y, Guesde R, Viars P. Systemic gas embolism complicating pulmonary contusion. Diagnosis and management using transesophageal echocardiography. Am J Respir Crit Care Med 1995; 152: 812–5.PubMedGoogle Scholar
  9. Thomas AN. Air embolism following penetrating lung injuries. J Thorac Cardiovasc Surg 1973; 66: 533–40.Google Scholar
  10. Weaver LK, Morris A. Venous and arterial gas embolism with positive pressure ventilation. Chest 1998; 113: 1132–4.PubMedCrossRefGoogle Scholar
  11. Yee ES, Verrier ED, Thomas AN. Management of air embolism in blunt and penetrating thoracic trauma. J Thorac Cardiovasc Surg 1983; 85: 661–8PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Donald Oxorn

There are no affiliations available

Personalised recommendations