[Arterial air embolism following multiple injuries after a fall from the tenth floor].
We report about the case of a 20-year-old patient who fell from the tenth floor. The patient suffered multiple injuries and systemic gas embolism. He survived his injuries despite CPR, massive transfusion, development of ARDS and SIRS with minimal neurological deficit. The possible pathogenesis of the systemic gas embolism as well as the therapy are discussed. Besides stabilizing the circulation with i.v. fluids, blood transfusion and catecholamine therapy, the use of hyperbaric oxygenation was the decisive therapeutic measure.
Hilbert
P
P
Klinik für Anästhesiologie, Intensiv- und Notfallmedizin, BG-Kliniken Bergmannstrost, Merseburgerstrasse 165, 06112, Halle/Saale, Germany. Peter.Hilbert@bergmannstrost.com
Liedke
H
H
Heyne
G
G
Fischer
D
D
Stuttmann
R
R
D000328:Adult; D001930:Brain Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D003131:Combined Modality Therapy; D004562:Electrocardiography; D004618:Embolism, Air / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D006931:Hyperbaric Oxygenation; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D011026:Pneumopericardium / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D012151:Resuscitation; D012253:Rib Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D036542:Tomography, Spiral Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy