Br J Anaesth 2002 Nov;89(5):775-8
Droghetti L, Giganti M,
Memmo A, Zatelli R.
Department of Anaesthesia and Intensive Care Medicine, S.
Anna Hospital, I-44100 Ferrara, Italy.
Venous air embolism may occur when the surgical field is
above the level of the heart. We present a case of venous air
embolism in a patient undergoing percutaneous nephrolithotripsy in
the prone position and presenting with blindness and neurological
deficits 8 h later. The clinical diagnosis of paradoxical air
embolism was confirmed by early single-photon emission tomography
(SPET), whereas magnetic resonance imaging including
diffusion-weighted imaging (DW-MRI) was diagnostic only 30 h later.
Hyperbaric oxygen therapy was successful. In this case, early DW-MRI
scan was inconclusive, but a SPET study of the brain appeared to be
useful in confirming the clinical diagnosis. Early hyperbaric oxygen
was demonstrated to be a successful therapy. Br J Anaesth 2002; 89:
12393781 [PubMed - in process