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|Suspected case of venous air embolism in an infant undergoing hip arthrogram.
|Sarantopoulos, S;Lew, J
|Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia
|Anaesthesia and Intensive Care; 32(3): 423-5
|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 #:
|Anaesthesia and Intensive Care
Contrast Media.administration & dosage
Hip Dislocation, Congenital.radiography
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checked on Mar 1, 2024
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