POINT-OF-CARE ULTRASOUND DIAGNOSIS OF INTRAVASCULAR AIR AFTER LOWER EXTREMITY INTRAOSSEOUS ACCESS

被引:5
作者
Azan, Benjamin [1 ]
Teran, Felipe [1 ]
Nelson, Bret P. [1 ]
Andrus, Phillip [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Emergency Med, One Gustav L Levy Pl, New York, NY 10029 USA
关键词
intraosseous line; intravascular air; ultrasound; vascular air embolism; CENTRAL VENOUS CATHETERIZATION; COMPUTED-TOMOGRAPHY; GAS EMBOLISM; ECHOCARDIOGRAPHY; COMPLICATIONS;
D O I
10.1016/j.jemermed.2016.05.064
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Vascular air embolism is a rare but potentially deadly phenomenon. Early diagnosis allows providers to initiate measures aimed at preventing further air entry, preventing the migration of air to the lungs, and mitigating the hemodynamic effects of pulmonary air embolism. Case Report: An emergency physician used point-of-care ultrasound to identify intravascular air before embolization to the pulmonary vasculature. Why Should an Emergency Physician Be Aware of This?: Bedside ultrasound can be used as a tool for early diagnosis of intravascular air. Emergency physicians should be aware of the typical sonographic manifestations of intravascular air and the initial steps in treating vascular air embolism. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:680 / 683
页数:4
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