Possible air embolism during eye surgery.

Abstract:

:We report a case of possible air embolism during a three-port pars plana vitrectomy and air-fluid exchange of the vitreous cavity of the eye. After the start of intraocular air flushing, sudden tachycardia, a decrease in oxygen saturation and end-tidal carbon dioxide tension, and a distinct "mill-wheel" murmur were observed. Venous air embolism was suspected but other sources of air entry into the circulation and a thromboembolic event were excluded. Once intraocular air flushing was ceased, clinical variables returned to normal within minutes. In conclusion, during air-fluid exchange of the vitreous cavity, air embolism should be considered as a possible rare complication.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Ledowski T,Kiese F,Jeglin S,Scholz J

doi

10.1213/01.ANE.0000154304.63828.C0

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

1651-2

issue

6

eissn

0003-2999

issn

1526-7598

pii

100/6/1651

journal_volume

100

pub_type

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