Journal of Clinical Anesthesia
Volume 9, Issue 3 , Pages 248-250 , May 1997

Successful early intervention in air embolism during hysteroscopy

  • Rahim Behnia, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Dr. Behnia at the Department of Anesthesia, Northwestern University Medical School, 303 E. Chicago Ave., Chicago, IL 60611, USA.
    • Associate Professor of Anesthesia.
    • ,
  • H.Steele Holley, MD

      Affiliations

    • Associate Professor of Anesthesia.
    • ,
  • Magdy Milad, MD

      Affiliations

    • Assistant Professor of Obstetrics and Gynecology.

Received 27 May 1996 ,Accepted 7 October 1996.

References 

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  2. Loffer FD. Laser ablation of the endometrium. Obstet Gynecol Clin No Am. 1988;15:77–89
  3. Hulka JF, Peterson HB, Phillips JM, Surrey MW. Operative hysteroscopy. American Association of Gynecologic Laparoscopists 1991 membership survey. J Reprod Med. 1993;38:572–573
  4. Baggish MS, Daniell JF. Death caused by air embolism associated with neodymium: yttrium-aluminum-garnet laser surgery and artificial sapphire tips. Am J Obstet Gynecol. 1989;161:877–878
  5. Corson SL, Brooks PG, Soderstrom RM. Gynecologic endoscopic gas embolism. Fertil Steril. 1996;65:529–533
  6. Perry PM, Baugman VL. A complication of hysteroscopy: air embolism. Anesthesiology. 1990;73:546–547
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  8. Witz CA, Silverberg KM, Burns WN, Schenken RS, Olive DL. Complications associated with the absorption of hysteroscopic fluid media. Fertil Steril. 1993;60:745–756
  9. Brink DM, De Jong P, Fawcus S, Marot N. Carbon dioxide embolism following diagnostic hysteroscopy. Br J Obstet Gynecol. 1994;101:717–718
  10. Hill DW. In: 4th ed.. Physics Applied to Anesthesia. Boston: Butterworths; 1980;p. 209–212
  11. Diakun TA. Carbon dioxide embolism: successful resuscitation with cardiopulmonary bypass. Anesthesiology. 1991;74:1151–1153
  12. Kizer KW, Goodman PC. Radiographic manifestations of venous air embolism. Radiology. 1982;144:35–39
  13. Leake JF, Murphy AA, Zacur HA. Noncardiogenic pulmonary edema: a complication of operative hysteroscopy. Fertil Steril. 1987;48:497–499
  14. Clark MC, Flick MR. Permeability pulmonary edema caused by venous air embolism. Am Rev Respir Dis. 1984;129:633–635
  15. Warren BA, Phillip RB, Inwood MJ. The ultrastructural morphology of air embolism: platelet adhesion to the interface and endothelial damage. Br J Exp Pathol. 1973;54:163–172
  16. Flick MR, Perel A, Staub NC. Leukocytes are required for increased lung microvascular permeability after microembolization in sheep. Circ Res. 1981;48:344–351
  17. Flick MR, Hoeffel JM, Staub NC. Superoxide dismutase with heparin prevents increased lung vascular permeability during air emboli in sheep. J Appl Physiol Respir Environ Exercise Physiol. 1983;55:1284–1291
  18. Guffin TN, Har-el G, Sanders A, et al.  Acute postobstruction pulmonary edema. Otolaryngol Head Neck Surg. 1995;112:235–237
  19. Timby J, Reed C, Zeilender S, Glauser FL. “Mechanical” causes of pulmonary edema. Chest. 1990;98:973–979

PII: S0952-8180(97)00025-1

Journal of Clinical Anesthesia
Volume 9, Issue 3 , Pages 248-250 , May 1997

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