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Title: Suspected case of venous air embolism in an infant undergoing hip arthrogram.
Austin Authors: Sarantopoulos, S;Lew, J 
Affiliation: Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 1-Jun-2004
Publication information: Anaesthesia and Intensive Care; 32(3): 423-5
Abstract: An otherwise well ten-week-old girl underwent an air contrast hip arthrogram and application of a hip spica for a developmentally dislocated hip. The child displayed signs consistent with venous air embolism after injection of 5 ml of air into the hip joint. These signs included a decrease in arterial haemoglobin oxygen saturation as measured by pulse oximetry, decreased end-tidal carbon dioxide level and tachycardia. The signs initially resolved, but the patient deteriorated with injection of a further 5 ml of air. The patient responded to cessation of injection and resuscitative measures. The infant remained well postoperatively. The need for the use of air to confirm intra-articular placement of the needle prior to injection of contrast during a hip arthrogram is questioned.
Gov't Doc #: 15264743
Journal: Anaesthesia and Intensive Care
Type: Journal Article
Subjects: Arthrography.adverse effects.methods
Contrast Media.administration & dosage
Embolism, Air.etiology
Hip Dislocation, Congenital.radiography
Hip Joint.radiography
Injections, Intra-Articular
Pneumoradiography.adverse effects
Appears in Collections:Journal articles

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