Sherlock S, Shearer W A, Buist M, Rasiah R, Edwards A
Department of Anaesthesia, Dandenong Hospital, Victoria.
Anaesth Intensive Care. 1998 Dec;26(6):674-6. doi: 10.1177/0310057X9802600612.
A 50-year-old woman ASA 2 underwent carbon dioxide hysteroscopy under general anaesthesia. Monitoring showed a sudden and rapid fall in end-tidal carbon dioxide followed by oxygen desaturation. She became pulseless and cyanosed. Resuscitation with oxygen, intravenous adrenaline and head-down tilt restored her to haemodynamic stability. Hyperbaric therapy was also administered as air embolism could not be excluded.