Fatal venous air embolism during emergence from anesthesia

Teng Kuei Hsieh, Ja Ping Hsieh, Ming Chung Lin, Shung Tai Ho, Chung-Hsi Hsing, Jhi Joung Wang, Chin Chen Chu

Research output: Contribution to journalArticle

Abstract

We describe a case of the sudden onset of cardiovascular collapse during emergence from anesthesia resulting from a massive venous air embolism, which was detected by transesophageal echocardiography. We present this case to remind anesthesiologists to be aware of the risk of a sudden return of air trapped in the venous system during emergence from anesthesia. The air is freed because the sympathetic tone is increased, muscle-pumping power is regained, ventilation shifts from positive-pressure to negative-pressure spontaneous ventilation, and the patient is repositioned after surgery.

Original languageEnglish
Pages (from-to)138-142
Number of pages5
JournalActa Anaesthesiologica Taiwanica
Volume47
Issue number3
DOIs
Publication statusPublished - Sep 2009
Externally publishedYes

Keywords

  • Anesthesia recovery period: emergence
  • Embolism, air

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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  • Cite this

    Hsieh, T. K., Hsieh, J. P., Lin, M. C., Ho, S. T., Hsing, C-H., Wang, J. J., & Chu, C. C. (2009). Fatal venous air embolism during emergence from anesthesia. Acta Anaesthesiologica Taiwanica, 47(3), 138-142. https://doi.org/10.1016/S1875-4597(09)60041-2