Dermigny F, Daelman F, Guinot P-G, Hubert V, Jezraoui P, Thomas F, Milazzo S, Dupont H
Pôle d'anesthésie-réanimation, centre hospitalier universitaire d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France.
Ann Fr Anesth Reanim. 2008 Oct;27(10):840-2. doi: 10.1016/j.annfar.2008.07.091. Epub 2008 Sep 27.
Gas embolism is well known for a specific subset of surgical interventions. Prevention and early detection are the main objectives of the anesthetic and surgical team. However, it may exceptionally occur during eye surgery with dramatic outcomes. We report the case of a 51-year-old man, ASA physical status 1, who presented a cardiac arrest during an open eye surgery for the extraction of a foreign body with intraocular air injection. Multiple organ failure has not been improved by hyperbaric oxygen therapy and the outcome was fatal.
气体栓塞在特定的外科手术中广为人知。预防和早期检测是麻醉和手术团队的主要目标。然而,它可能在眼科手术中罕见地发生,并带来严重后果。我们报告一例51岁男性患者,美国麻醉医师协会(ASA)身体状况分级为1级,在一次开放性眼科手术中,为取出异物并进行眼内空气注射时发生心脏骤停。高压氧治疗未能改善多器官功能衰竭,最终患者死亡。