Abstract
A 30-year-old man (70 Kg, 5′11’, ASA 1 E) is admitted to the hospital as an emergency at 8 p.m. You see the patient in the preoperative holding area. He is scheduled for excision of an infected sinus in his left lower tibia. He has not eaten for 8 h and his vital signs are within normal limits. He refuses a regional block and requests a general anesthetic. Previous anesthetic for an orthopedic procedure on his left tibia was uneventful.
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Neff SPW, Zulueta L, Miller R. Hydrogen peroxide: an unusual cause of arterial and venous gas embolism. Anaesthesia. 1996;61:683–4.
Gronert GA, Messick JM Jr, Cuccihiara RF, Michenfelder JD. Paradoxical air embolism from a patent foramen oval. Anesthesiology. 1979;50:548–9.
Adornato DC, Gildenberg PL, Ferrario CM, Smart J, Frost EAM. Pathophysiology of intravenous air embolism in dogs. Anesthesiology. 1978;49:120–7.
Badenoch A, Srinivas C, Al-Adra D, Selzner M, Wąsowicz MA. Case report of paradoxical air embolism caused by intrapulmonary shunting during liver transplantation. Transplant Direct. 2017;3(3):134.
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Brock-Utne, J.G. (2017). Case 94: Patient’s Toes Suddenly Become White During a Lower Limb Operation. In: Clinical Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-71467-7_94
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DOI: https://doi.org/10.1007/978-3-319-71467-7_94
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