Successful early intervention in air embolism during hysteroscopy

Rahim Behnia*, H. Steele Holley, Magdy Milad

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Hysteroscopy is used as a diagnostic tool for intrauterine pathology. Gas embolism with air or carbon dioxide is a rare but sometimes fatal complication of laparoscopy or hysteroscopy. We present a patient who developed pulmonary air embolism during hysteroscopy that caused a noncardiogenic pulmonary edema in the recovery room. This case report emphasizes that early intervention can prevent life-threatening events associated with pulmonary embolism during hysteroscopy. Pathophysiology of pulmonary gas embolism, as well as that of noncardiogenic pulmonary edema, is discussed. A protocol for the prevention, early detection, and management of this emergency is provided.

Original languageEnglish (US)
Pages (from-to)248-250
Number of pages3
JournalJournal of Clinical Anesthesia
Volume9
Issue number3
DOIs
StatePublished - May 1997

Keywords

  • Carbon dioxide
  • Edema
  • Embolism
  • End- tidal
  • Hysteroscopy
  • Pulmonary

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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