title: Venous air embolism: A complication during percutaneous nephrolithotomy.
abstract: Venous air embolism during percutaneous nephrolithotomy (PCNL) following air pyelogram or saline irrigation has been occasionally reported. We present a case of suspected venous air embolism during air pyelogram in a patient undergoing PCNL. The clinical diagnosis of air embolism was made by fall in end tidal carbon dioxide, blood pressure and Oxygen saturation and was conservatively managed. Early diagnosis with rapid resuscitation is the key to management of a patient with air embolism.
authors.affiliation: Department of Anaesthesia and Critical Care, Smt. K. M. Mehta and Smt. G.R. Doshi Institute of Kidney Diseases and Research Center , Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
authors.forename: Geeta P
authors.initials: GP
authors.lastname: Parikh
authors.affiliation: Department of Anaesthesia and Critical Care, Smt. K. M. Mehta and Smt. G.R. Doshi Institute of Kidney Diseases and Research Center , Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
authors.forename: Sumedha R
authors.initials: SR
authors.lastname: Sonde
authors.affiliation: Department of Anaesthesia and Critical Care, Smt. K. M. Mehta and Smt. G.R. Doshi Institute of Kidney Diseases and Research Center , Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
authors.forename: Prachi
authors.initials: P
authors.lastname: Kadam
keywords: Air pyelogram; percutaneous nephrolithotomy; venous air embolism
references.citation: Br J Anaesth. 2002 Nov;89(5):775-8
references.pmid: 12393781
references.citation: J Urol. 1983 Jul;130(1):125-6
references.pmid: 6864891
references.citation: Urology. 1973 Dec;2(6):612-4
references.pmid: 4766017
references.citation: Can J Anaesth. 2001 Feb;48(2):204-8
references.pmid: 11220433
references.citation: Br J Anaesth. 2003 Nov;91(5):760-1; author reply 761
references.pmid: 14570812
references.citation: J Korean Med Sci. 2007 Dec;22(6):1071-3
references.pmid: 18162725