JBJS case connector · 2024
Venous Air Embolism During Lumbar Spine Surgery Leading to Cardiac Arrest Requiring Prone Chest Compressions: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nassar Joseph E, Daher Mohammad, Singh Manjot, Knebel Ashley, Criddle Sarah L, Diebo Bassel G, Daniels Alan H
Аннотация
CASE REPORT: A 76-year-old female patient underwent revision T12-L4 decompression and fusion surgery. During the procedure, a large dural defect occurred associated with an abrupt drop in end-tidal CO2, severe hypotension, bradycardia, and cardiac arrest. Prone chest compressions were initiated, and the patient survived without postoperative comorbidities. The sudden hemodynamic instability was attributed to a venous air embolism (VAE) confirmed by findings on intraoperative capnography.
CONCLUSION: Managing cardiac arrest caused by VAE in lumbar spine surgery is challenging. This case showcases that prone chest compressions may lead to better survival chances compared with waiting to initiate supine chest compressions.
CONCLUSION: Managing cardiac arrest caused by VAE in lumbar spine surgery is challenging. This case showcases that prone chest compressions may lead to better survival chances compared with waiting to initiate supine chest compressions.