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|Title:||Massive air embolism from continuous venovenous haemofiltration causing electromechanical dissociation in a cardiac surgical patient.|
|Authors:||Ku, Lisa;Weinberg, Laurence;Seevanayagam, Siven;Baldwin, Ian;Opdam, Helen Ingrid;Doolan, Laurie|
|Affiliation:||Department of Anaesthesia, Austin Hospital, Melbourne, VIC, Australia.|
|Citation:||Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine; 14(2): 154-8|
|Abstract:||Venous air embolism is a rare but life-threatening complication of continuous venovenous haemofiltration. We report a case of massive venous air embolism associated with haemofiltration in a 75-year-old man after complicated cardiac surgery. Haemofiltration circuitry and air detector alarms are not infallible and air embolism should be considered in patients receiving such therapy who develop cardiopulmonary instability. We discuss our early intervention, which focused on restoration of the circulation, prevention of further air entry, retrieval of air and supportive care. The use of transoesophageal echocardiography for diagnosis of air embolism and to aid the insertion of a pulmonary artery catheter for air aspiration was essential for management.|
|Internal ID Number:||22697625|
|Subjects:||Acute Kidney Injury.etiology.therapy|
Coronary Artery Bypass.adverse effects
|Appears in Collections:||Journal articles|
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