Cerebral Air Embolism After Pleural Lavage for Empyema.
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
06
02
2020
revised:
25
02
2020
accepted:
28
02
2020
pubmed:
5
4
2020
medline:
20
11
2020
entrez:
5
4
2020
Statut:
ppublish
Résumé
Percutaneous pleural maneuvers are performed routinely in the management of pleural diseases with a favorable safety profile. We report a case of cerebral air embolism during a pleural lavage for the management of an empyema. This severe complication is rarely reported in the literature, although it can happen after any percutaneous thoracic procedures. Asymptomatic arterial air emboli can occur in up to 5% of percutaneous thoracic maneuvers. Diagnosis should be made upon sudden neurologic signs and confirmed with brain imaging. Standard treatment is based on hyperbaric oxygen therapy, and it can be performed safely with an intrapleural catheter.
Identifiants
pubmed: 32246936
pii: S0003-4975(20)30445-8
doi: 10.1016/j.athoracsur.2020.02.068
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e289-e291Informations de copyright
Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.