Venous air embolism and intracardiac thrombus after pressurized fibrin glue during liver surgery

被引：14

作者：

Ebner, F. M. ^{[1
]}

Paul, A. ^{[1
]}

Peters, J. ^{[1
]}

Hartmann, M. ^{[1
]}

机构：

[1] Univ Duisburg Essen, Klin Anasthesiol & Intensivmed, Univ Klinikum Essen, D-45122 Essen, Germany

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2011年 / 106卷 / 02期

关键词：

aerosol fibrin glue; heart failure; hepatic surgery; transoesophageal echocardiography; venous air embolism; fibrin glue embolism; LAPAROSCOPIC HEPATIC RESECTION; GAS EMBOLISM; CARBON-DIOXIDE;

D O I：

10.1093/bja/aeq336

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

After segmental liver resection, a fibrin glue aerosol was used to stop diffuse bleeding from the liver resection site. Immediately after pressurized administration, severe hypotension and bradycardia occurred, requiring cardiopulmonary resuscitation and inotropic support. Transoesophageal echocardiography demonstrated air in both ventricles deriving from the inferior vena cava; contractility of both ventricles was markedly reduced. In addition, a 3 cm floating thrombus was detected in the right ventricle. This case demonstrates that sprayed fibrin glue can cause life-threatening air embolism and intracardiac thrombus formation in liver surgery.

引用

页码：180 / 182

页数：3

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