Spampinato N, Stassano P, Gagliardi C, Tufano R, Iorio D
Ann Thorac Surg. 1981 Dec;32(6):602-3. doi: 10.1016/s0003-4975(10)61805-x.
Two patients experienced an episode of massive air embolism during extracorporeal circulation. Several emergency measures were taken. (1) The roller pump was reversed to take out air from the aorta. (2) The circuit was disconnected and recirculated to eliminate air bubbles. (3) Perfusion was restarted and the patient cooled to 24 degrees C for 40 minutes. (4) Pentothal (thiopental), steroids, and assisted ventilation were administered. The outcome was favorable in both patients, and there were no neurological sequelae. Immediate cooling and prolonged circulation seem to be a satisfactory approach to this problem.
两名患者在体外循环期间发生了大规模空气栓塞事件。采取了几项紧急措施。(1) 将滚压泵反转以从主动脉抽出空气。(2) 断开回路并重新循环以消除气泡。(3) 重新开始灌注，并将患者冷却至24摄氏度持续40分钟。(4) 给予硫喷妥钠、类固醇和辅助通气。两名患者的预后均良好，且无神经后遗症。立即冷却和延长循环似乎是解决这个问题的令人满意的方法。
