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Article: Fatal Systemic Air Embolism During Endoscopic Retrograde Cholangio-pancreatography
- Article from:
- Anaesthesia and Intensive Care
- Article date:
- April 1, 2004
- Author:
CopyrightCopyright Australian Society of Anaesthetists Apr 2004. Provided by ProQuest LLC. (Hide copyright information)
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SUMMARY
Air embolism is a rare complication of gastrointestinal endoscopy. We present a 56-year-old male who developed both venous and systemic arterial air embolism during an endoscopic retrograde cholangiopancreatogram. Despite early treatment based on clinical diagnosis and confirmation by transthoracic echocardiography, the patient died as a result of severe cerebral ischaemia. Risk factors associated with air embolism in gastrointestinal endoscopie procedures include situations where the mucosa is not intact or where high pressures are generated in the lumen of the gastrointestinal tract. Clinical diagnosis of air embolism during endoscopy is difficult and urgent echocardiography is ...