is a staff nurse anesthetist for the Department of Anesthesiology and Perioperative Medicine at The University of Texas MD Anderson Cancer Center in Houston, Texas. Email:
is an Associate Professor for the Department of Pulmonary Medicine and Division of Internal Medicine at The University of Texas MD Anderson Cancer Center in Houston, Texas. Email:
AANA J. 2022 Aug;90(4):293-295.
Gas embolism is a procedure-related complication and has been reported during endoscopy, surgical procedures, intravenous catheterization, positive pressure ventilation, and a multitude of scenarios. Recognizing the potential for gas embolus and a high level of suspicion are paramount to timely intervention to prevent significant morbidity and mortality. There is such rapid decompensation that only clinical suspicion can guide timely intervention; it is not uncommon for gas embolus to be diagnosed postmortem. It then must be determined whether the gas embolus has a venous or systemic entry point. Overall management is similar for both forms of gas emboli with focus on hemodynamic support and preservation of organ function. This case report discusses an occurrence of presumed systemic gas embolus from argon plasma coagulation and management of a patient under general anesthesia during rigid bronchoscopy.
气体栓塞是一种与操作相关的并发症，在胃镜检查、手术过程、静脉导管插入、正压通气以及许多情况下都有报道。认识到气体栓塞的潜在风险和高度怀疑至关重要，以便及时干预，防止严重的发病率和死亡率。气体栓塞的代偿速度非常快，只有临床怀疑才能指导及时干预；气体栓塞在死后诊断并不罕见。然后必须确定气体栓塞是从静脉还是从全身进入。对于这两种形式的气体栓塞，整体管理是相似的，重点是血流动力学支持和器官功能的保护。本病例报告讨论了一例在硬质支气管镜检查期间全身麻醉下接受氩等离子体凝固治疗的患者发生的疑似全身气体栓塞及其治疗。
