Fatal cerebral air embolism following uneventful flexible bronchoscopy

Détails

ID Serval
serval:BIB_E83368A9DFD9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Fatal cerebral air embolism following uneventful flexible bronchoscopy
Périodique
Respiration
Auteur⸱e⸱s
Azzola A., von Garnier C., Chhajed P. N., Schirp U., Tamm M.
ISSN
1423-0356 (Electronic)
ISSN-L
0025-7931
Statut éditorial
Publié
Date de publication
2010
Volume
80
Numéro
6
Pages
569-72
Langue
anglais
Notes
Azzola, Andrea
von Garnier, Christophe
Chhajed, Prashant N
Schirp, Udo
Tamm, Michael
eng
Case Reports
Switzerland
Respiration. 2010;80(6):569-72. doi: 10.1159/000321849. Epub 2010 Nov 16.
Résumé
Flexible bronchoscopy is a widely used and safe procedure with a reported maximal mortality rate of 0.04% and a major-complications rate of 0.5%. There are, however, only few case descriptions for postinterventional cerebral air embolism and the frequency of this supposedly rare complication is unknown. The current study presents 2 patients with non-small cell lung cancer who suffered fatal cerebral air embolism following diagnostic bronchoscopy with transbronchial needle aspiration and transbronchial biopsy, resulting in a frequency of <0.02% for this severe complication in our institution. In addition to early supportive measures, 1 patient received hyperbaric oxygen therapy as further treatment. Prompt recognition of this complication is mandatory in order to implement appropriate supportive measures. High-flow oxygen should be administered and hyperbaric oxygen therapy may be considered, if available. If possible, positive pressure ventilation should be avoided.
Mots-clé
Aged, Bronchoscopy/*adverse effects, Embolism, Air/diagnostic imaging/*etiology, Fatal Outcome, Female, Humans, Intracranial Embolism/diagnostic imaging/*etiology, Middle Aged, Radiography
Pubmed
Création de la notice
15/04/2021 9:58
Dernière modification de la notice
01/05/2021 5:33
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