[Severe pulmonary complications following venous air embolism in neurosurgical operations in sitting position--2 case reports].
The occurrence of air embolism during neurosurgical operations in sitting position is described in two cases. Besides the Doppler ultrasound evidence, relevant effects on the cardiopulmonary situation during surgery were observed, which in one case forced an early end of the operation. Postoperative management in both cases was complicated by a pulmonary oedema. In severe intraoperative cardiopulmonary complications in connection with venous air embolism, the existence of pulmonary oedema should be assumed. Confirmation of the diagnosis and the correct therapy depend upon frequent postoperative chest X-rays.
Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Medizinischen Fakultät, Universität Leipzig.
L
L
Schaffranietz
A
A
Dyrna
O
O
Sorge
H E
HE
Vitzthum
L
L
Günther
D001932:Brain Neoplasms / Q000601:surgery; D002245:Carbon Dioxide / Q000097:blood; D002528:Cerebellar Neoplasms / Q000601:surgery; D004618:Embolism, Air / Q000209:etiology* / Q000628:therapy; D006801:Humans; D015192:Infratentorial Neoplasms / Q000601:surgery; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D011187:Posture / Q000502:physiology; D011654:Pulmonary Edema / Q000209:etiology* / Q000628:therapy; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy
D002245:Carbon Dioxide; D010100:Oxygen
Schwere pulmonale Störungen nach venöser Luftembolie bei neurochirurgischen Operationen in sitzender Position--zwei Fallberichte.