侧卧位时因空气栓塞导致的异常二氧化碳波形图。
An abnormal capnography trace due to air embolism in the lateral position.
作者信息
Lee Yi Lin, Hwang Kai Yin, Yew Woon Si, Ng Shin Yi
机构信息
Department of Surgical Intensive Care, Singapore General Hospital, Singapore.
Department of Anaesthesiology, Singapore General Hospital, Singapore.
出版信息
BMJ Case Rep. 2019 Aug 28;12(8):e231316. doi: 10.1136/bcr-2019-231316.
Abstract
Venous air embolism occurs when air is entrained into the venous system and travels to the right heart and pulmonary circulation, and commonly occurs as a complication in laparoscopic, neurosurgical and cardiac surgeries. We present a case of abnormal end-tidal carbon dioxide capnography tracing in the lateral position in a laparoscopic major liver procedure and discuss the potential novel use of this as a red flag in aiding the medical practitioner to diagnose air embolism.
摘要
静脉空气栓塞是指空气进入静脉系统并进入右心和肺循环时发生的情况，通常作为腹腔镜手术、神经外科手术和心脏手术的并发症出现。我们报告一例在腹腔镜大肝手术中侧卧位时呼气末二氧化碳波形图异常的病例，并讨论将其作为警示信号辅助医生诊断空气栓塞的潜在新用途。
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