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Title: Massive air embolism from continuous venovenous haemofiltration causing electromechanical dissociation in a cardiac surgical patient.
Austin Authors: Ku, Lisa;Weinberg, Laurence ;Seevanayagam, Siven ;Baldwin, Ian C ;Opdam, Helen Ingrid;Doolan, Laurie
Affiliation: Department of Anaesthesia, Austin Hospital, Melbourne, Victoria, Australia
Issue Date: 1-Jun-2012
Publication information: Critical Care and Resuscitation; 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.
Gov't Doc #: 22697625
Journal: Critical Care and Resuscitation
Type: Journal Article
Subjects: Acute Kidney Injury.etiology.therapy
Coronary Artery Bypass.adverse effects
Embolism, Air.diagnosis.etiology.therapy
Hemofiltration.adverse effects
Appears in Collections:Journal articles

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