A Rare Case of Fatal Venous and Cerebral Air Embolism
| Autor: | Osman Celbis, Zeynep Yener, Semih Petekkaya, Ömer Turan, Bedirhan Sezer Öner |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Intracranial Embolism business.industry medicine.medical_treatment 010401 analytical chemistry Thoracentesis medicine.disease 01 natural sciences Air embolism 0104 chemical sciences Cardiac surgery Surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Blunt Embolism Blunt trauma Emergency Medicine medicine 030216 legal & forensic medicine Neurosurgery business |
| Zdroj: | Turkish Journal of Trauma and Emergency Surgery. |
| ISSN: | 1306-696X |
| DOI: | 10.5505/tjtes.2018.58201 |
| Popis: | A venous air embolism can occur as a result of circumstances that include blunt head or chest trauma, thoracentesis, arterial catheterization, neurosurgery, cardiac surgery, and Caisson disease. The formation of a venous air embolism requires an air source, interaction between the air source and the vessel, and a pressure gradient supporting air migration into the vessel. Air enters through the impaired venous structure and travels to the right side of the heart and the pulmonary arteries, and depending on the amount of air, may occasionally be fatal. This report is the description of the case of a 3-year-old child who developed a fatal venous and cerebral embolism during neurosurgery for the treatment of skull fractures with epidural and subdural bleeding due to blunt head and chest trauma resulting from a television falling on her. The pathophysiology of death and notes regarding the medico-legal autopsy procedure in such cases are discussed. Meticulous autopsy techniques must be used to determine the presence of an air embolism in cases of blunt trauma, especially in patients with blunt trauma to the head who die during neurosurgery, and possible future malpractice claims should be kept in mind. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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