Sisk Joseph M, Choi Monica D, Casabianca Andrew B, Hassan Ali M
From the Department of Anesthesiology, The University of Toledo College of Medicine, Toledo, Ohio.
A A Case Rep. 2017 Feb 1;8(3):47-50. doi: 10.1213/XAA.0000000000000420.
Venous air embolism is a rare but potentially catastrophic complication of endoscopic retrograde cholangiopancreatography. We report 2 cases of venous air embolism and subsequent cardiac arrests. During resuscitation efforts, a transesophageal echocardiogram was placed, which demonstrated significant air in the right heart. Although gastroenterologists seem to be more aware of this complication, it is underreported in the anesthesiology literature. As anesthesiologists continue to expand coverage to endoscopy suites, anesthesia providers must be aware of predisposing factors and maintain a high index of suspicion to recognize and treat in a timely manner to prevent serious adverse outcomes.
静脉空气栓塞是内镜逆行胰胆管造影术一种罕见但可能致命的并发症。我们报告2例静脉空气栓塞及随后的心搏骤停病例。在复苏过程中，放置了经食管超声心动图，结果显示右心有大量空气。尽管胃肠病学家似乎更了解这种并发症，但麻醉学文献中对此报道不足。随着麻醉医生继续扩大对内镜检查室的覆盖范围，麻醉医护人员必须了解诱发因素，并保持高度警惕，以便及时识别和治疗，防止出现严重不良后果。
