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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 | URI: | https://ahro.austin.org.au/austinjspui/handle/1/9772 | Journal: | Anaesthesia and Intensive Care | URL: | https://pubmed.ncbi.nlm.nih.gov/15264743 | Type: | Journal Article | Subjects: | Arthrography.adverse effects.methods Contrast Media.administration & dosage Embolism, Air.etiology Female Hip Dislocation, Congenital.radiography Hip Joint.radiography Humans Infant Injections, Intra-Articular Pneumoradiography.adverse effects |
Appears in Collections: | Journal articles |
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