Documented arterial gas embolism after spinal epidural injection
Autor: | Craig A. MacLean, David T. Bachman |
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Rok vydání: | 2001 |
Předmět: |
Male
medicine.medical_specialty Heart disease Heart Ventricles Injections Epidural Neurological disorder Betamethasone Herpes Zoster Diagnosis Differential Embolus Embolism Air Humans Medicine cardiovascular diseases Aged business.industry Oxygen Inhalation Therapy medicine.disease Bupivacaine Surgery Analgesia Epidural medicine.anatomical_structure Spinal epidural Embolism Ventricle Anesthesia Emergency Medicine Neuralgia Emergency Service Hospital Tomography X-Ray Computed business Complication |
Zdroj: | Annals of Emergency Medicine. 38:592-595 |
ISSN: | 0196-0644 |
DOI: | 10.1067/mem.2001.118008 |
Popis: | We report the case of a 90-year-old man with syncope, arrhythmia, cardiac ischemia, and neurologic deficit after undergoing spinal epidural injection for control of pain related to post-herpetic neuralgia. The diagnosis of arterial gas embolus was made after air was identified in the left ventricle of the heart on an abdominal computed tomographic scan. Emergency physicians should consider and rapidly diagnose this rare but potentially fatal complication of spinal epidural puncture. |
Databáze: | OpenAIRE |
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