{"id":5430,"date":"2011-07-14T20:26:28","date_gmt":"2011-07-14T20:26:28","guid":{"rendered":"http:\/\/crashtext.org\/misc\/air-embolism-2.htm\/"},"modified":"2012-07-25T18:53:45","modified_gmt":"2012-07-25T22:53:45","slug":"air-embolism","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/medical-surgical\/air-embolism.htm\/","title":{"rendered":"Air Embolism"},"content":{"rendered":"

Air Embolism<\/h2>\n

(Review in Anesthesiology 1999;90(2):564)<\/p>\n

if patient decompensates just after being placed on mech vent, consider this dx<\/p>\n

 <\/p>\n

\"\"<\/a><\/p>\n

 <\/p>\n

caused by gradient of low pressure pulmonary venous system (hypovolemia) and\/or increased airway pressure (PPV, cough, tension pneumo)<\/p>\n

 <\/p>\n

2 cc of air injected into the cerebral circ can be fatal<\/p>\n

1 cc of air in the pulm vein can cause cardiac arrest<\/p>\n

 <\/p>\n

injuries close to the hilium yield the highest risk b\/c the pulm vein (low pressure) is close to the large airways<\/p>\n

 <\/p>\n

Probe positive PFO can allow conduit from venous air embolism<\/p>\n

 <\/p>\n

paradoxical embolism can also occur in ARDS, pulm htn,<\/p>\n

ability of lungs to function as filter is exceeded at 0.35 cc of air per kg per minute<\/p>\n

 <\/p>\n

blast injury can cause massive air embolism<\/p>\n

 <\/p>\n

hemoptysis with circulatory and CNS dysfunction is sufficient for provisional diagnosis<\/p>\n

 <\/p>\n

fundoscopic exam may reveal air in retinal vessels<\/p>\n

 <\/p>\n

TEE can detect extremely small bubbles<\/p>\n

 <\/p>\n

tympanic membrane should rupture if lung ruptures in blast injury<\/p>\n

 <\/p>\n

spont vent is preferred, lung isolation if only one lung injured and ppv is necessary<\/p>\n

 <\/p>\n

thoracotmy with hilar clamping has been used<\/p>\n

 <\/p>\n

hyperbarics for SAE<\/p>\n

 <\/p>\n

HFOV is preferred mode if there is bronchopleural fistula<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

|\u00a0\u00a0 \u00a0\u00a0 |\u00a0\u00a0 \u00a0\u00a0 |<\/p>\n","protected":false},"excerpt":{"rendered":"

Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[8,32],"tags":[],"yoast_head":"\nAir Embolism - Crashing Patient<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crashingpatient.com\/medical-surgical\/air-embolism.htm\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"CrashMaster\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/crashingpatient.com\/medical-surgical\/air-embolism.htm\/\",\"url\":\"https:\/\/crashingpatient.com\/medical-surgical\/air-embolism.htm\/\",\"name\":\"Air Embolism - 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