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중심 정맥 도관 제거 후 발생한 좌심실 내 공기를 동반한 공기색전증

Air Embolism in the Left Ventricle after the Removal of a Central Venous Catheter

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초록

Air embolism is a rare, potentially critical complication that can induce death. Central venous catheterization, which is commonly used for critically ill patients, is a possible cause of air embolism. We experienced a severe air embolism with abnormal air in left ventricle after CVC removal in a patient who was treated for eosinophilic pneumonia. Although the neurologic symptoms were severe, the patient was successfully treated with immediate hyperbaric oxygen therapy and the neurologic deficit was minimal.

Abstract

Air embolism is a rare, potentially critical complication that can induce death. Central venous catheterization, which is commonly used for critically ill patients, is a possible cause of air embolism. We experienced a severe air embolism with abnormal air in left ventricle after CVC removal in a patient who was treated for eosinophilic pneumonia. Although the neurologic symptoms were severe, the patient was successfully treated with immediate hyperbaric oxygen therapy and the neurologic deficit was minimal.

참고문헌 (18)

  1. Padberg FT Jr, "Central venous catheterization for parenteral nutrition", Ann Surg, 193, pp.264~270 (1981)
  2. Merrer J, "Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial", JAMA, 286, pp.700~707 (2001)
  3. McGee DC, "Preventing complications of central venous catheterization", N Engel J Med, 348, pp.1123~1133 (2003)
  4. Park MY, "Right internal jugular venous thrombosis occurred after long-term placement of hemodialysis catheter inserted via right subclavian vein.", Korean J Crit Care Med, 18, pp.80~83 (2003)
  5. Bae H, "Medicolegal aspects on central venous catheterization related injury", Korean J Crit Care Med, 21, pp.42~50 (2006)
  6. Muth CM, "Gas embolism", N Engl J Med, 342, pp.476~482 (2000)
  7. Palmon SC, "Venous air embolism: a review", J Clin Anesth, 9, pp.251~257 (1997)
  8. Pronovost PJ, "Acute decompensation after removing a central line: practical approaches to increasing safety in the intensive care unit", Ann Intern Med, 140, pp.1025~1033 (2004)
  9. Drewett SR, "Central venous catheter removal: procedures and rationale", Br J Nurs, 9, pp.2304~2315 (2000)
  10. Orebaugh SL, "Venous air emboli: clinical and experimental considerations", Crit Care Med, 20, pp.1169~1177 (1992)
  11. Lippman M, "Air Embolism", Int Anesthesiol Clin, 10, pp.93~109 (1972)
  12. Halliday P, "Management of cerebral air embolism secondary to a disconnected central venous catheter", Br J Surg, 81, pp.71~ (1994)
  13. Zamboni WA, "The effect of hyperbaric oxygen on the microcirculation of ischemic skeletal muscle", Undersea Biomed Res, 17(Suppl), pp.26~ (1990)
  14. Zhang JH, "Mechanisms of hyperbaric oxygen and neuroprotection in stroke", Pathophysiology, 12, pp.63~77 (2005)
  15. Heckmann JG, "Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization", Crit Care Med, 28, pp.1621~1625 (2000)
  16. Fujioka M, "Fatal paradoxical air embolism diagnosed by postmortem imaging and autopsy", J Forensic Sci, 57, pp.1118~1119 (2012)
  17. 김대원, "중심정맥 도관 제거 후 발생한 일측성 공기머리증 1예", 대한내과학회지, 80, pp.249~252 (2011), 대한내과학회
  18. 유수봉, "내경정맥 카테터 제거 후 발생한 뇌 공기색전증", Korean Journal of Anesthesiology, 57(5), pp.673~677 (2009), 대한마취통증의학회

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