Cirillo F M, Manani G, Osti M P, Giron G P
Acta Anaesthesiol Belg. 1977;28(3):209-15.
The authors describe a case of fatal air embolism in a patient with an endovenous catheter introduced into the subclavian vein through a supraclavicular way. The opening of pleura caused by the needle during the thrusting of the needle caused a subcutaneous supraclavicular and laterocervical emphysema during ventilation with intermittent positive pressure (IPPV). The authors suggest that IPPV, in the postoperative period following kidney removal, was the main ancillary reason of the air embolism since opening of pleura, in a patient who breathes spontaneously, only induces pneumothorax according to the majority of the authors.
作者描述了一例通过锁骨上途径将静脉导管插入锁骨下静脉的患者发生致命空气栓塞的病例。在穿刺过程中，针头导致胸膜开口，在间歇性正压通气（IPPV）时引发了锁骨上和颈侧皮下气肿。作者认为，肾切除术后进行的IPPV是空气栓塞的主要辅助原因，因为在大多数作者看来，对于自主呼吸的患者，胸膜开口仅会引发气胸。
