Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration

Arterial air embolism associated with pulmonary barotrauma has been considered a rare but a well-known complication of mechanical ventilation. A 65-year-old man, who had subarachnoid hemorrhage with Glasgow coma scale of 8, was admitted to intensive care unit and ventilated with the help of mechanic...

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Main Authors: S. Gursoy, C. Duger, K. Kaygusuz, I. Ozdemir Kol, B. Gurelik, C. Mimaroglu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2012/416360
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author S. Gursoy
C. Duger
K. Kaygusuz
I. Ozdemir Kol
B. Gurelik
C. Mimaroglu
author_facet S. Gursoy
C. Duger
K. Kaygusuz
I. Ozdemir Kol
B. Gurelik
C. Mimaroglu
author_sort S. Gursoy
collection DOAJ
description Arterial air embolism associated with pulmonary barotrauma has been considered a rare but a well-known complication of mechanical ventilation. A 65-year-old man, who had subarachnoid hemorrhage with Glasgow coma scale of 8, was admitted to intensive care unit and ventilated with the help of mechanical ventilator. Due to the excessive secretions, deep tracheal aspirations were made frequently. GCS decreased from 8–10 to 4-5, and the patient was reevaluated with cranial CT scan. In CT scan, air embolism was detected in the cerebral arteries. The patient deteriorated and spontaneous respiratory activity lost just after the CT investigation. Thirty minutes later cardiac arrest appeared. Despite the resuscitation, the patient died. We suggest that pneumonia and frequent tracheal aspirations are predisposing factors for cerebral vascular air embolism.
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issn 2090-6846
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series Case Reports in Pulmonology
spelling doaj-art-1a527b2958dd4066bd6edcfc9f8606062025-02-03T01:11:11ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/416360416360Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal AspirationS. Gursoy0C. Duger1K. Kaygusuz2I. Ozdemir Kol3B. Gurelik4C. Mimaroglu5Department of Anesthesiology, School of Medicine, Cumhuriyet University, 58140 Sivas, TurkeyDepartment of Anesthesiology, School of Medicine, Cumhuriyet University, 58140 Sivas, TurkeyDepartment of Anesthesiology, School of Medicine, Cumhuriyet University, 58140 Sivas, TurkeyDepartment of Anesthesiology, School of Medicine, Cumhuriyet University, 58140 Sivas, TurkeyDepartment of Anesthesiology, School of Medicine, Cumhuriyet University, 58140 Sivas, TurkeyDepartment of Anesthesiology, School of Medicine, Cumhuriyet University, 58140 Sivas, TurkeyArterial air embolism associated with pulmonary barotrauma has been considered a rare but a well-known complication of mechanical ventilation. A 65-year-old man, who had subarachnoid hemorrhage with Glasgow coma scale of 8, was admitted to intensive care unit and ventilated with the help of mechanical ventilator. Due to the excessive secretions, deep tracheal aspirations were made frequently. GCS decreased from 8–10 to 4-5, and the patient was reevaluated with cranial CT scan. In CT scan, air embolism was detected in the cerebral arteries. The patient deteriorated and spontaneous respiratory activity lost just after the CT investigation. Thirty minutes later cardiac arrest appeared. Despite the resuscitation, the patient died. We suggest that pneumonia and frequent tracheal aspirations are predisposing factors for cerebral vascular air embolism.http://dx.doi.org/10.1155/2012/416360
spellingShingle S. Gursoy
C. Duger
K. Kaygusuz
I. Ozdemir Kol
B. Gurelik
C. Mimaroglu
Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration
Case Reports in Pulmonology
title Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration
title_full Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration
title_fullStr Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration
title_full_unstemmed Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration
title_short Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration
title_sort cerebral arterial air embolism associated with mechanical ventilation and deep tracheal aspiration
url http://dx.doi.org/10.1155/2012/416360
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AT kkaygusuz cerebralarterialairembolismassociatedwithmechanicalventilationanddeeptrachealaspiration
AT iozdemirkol cerebralarterialairembolismassociatedwithmechanicalventilationanddeeptrachealaspiration
AT bgurelik cerebralarterialairembolismassociatedwithmechanicalventilationanddeeptrachealaspiration
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