Critical care medicine · 2000
Favorable outcome in a large left heart air embolism: lessons from an unusual complication of a noninvasive chest scan.
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Schneider F, Lutun P, Zollner G, Gaudias J, Pinto L, Tempé J D
Аннотация
OBJECTIVE: To report an unusual life-threatening complication of the performance of a computed tomographic (CT) scan of the chest.
DESIGN: Case report.
SETTING: University hospital.
PATIENT: An intubated patient with blunt thoracic trauma.
INTERVENTION: Performance of a CT scan of the chest at full inspiration.
MAIN RESULT: With air insufflation, a large left ventricular air embolism occurred as a consequence of an airway breach, revealed by the simultaneous existence of a mild bilateral anterior pneumothorax.
CONCLUSION: CT scan of the chest in patients at risk of airway breach (patients with acute respiratory distress syndrome, trauma patients) should first be performed at full expiration, not full inspiration.
DESIGN: Case report.
SETTING: University hospital.
PATIENT: An intubated patient with blunt thoracic trauma.
INTERVENTION: Performance of a CT scan of the chest at full inspiration.
MAIN RESULT: With air insufflation, a large left ventricular air embolism occurred as a consequence of an airway breach, revealed by the simultaneous existence of a mild bilateral anterior pneumothorax.
CONCLUSION: CT scan of the chest in patients at risk of airway breach (patients with acute respiratory distress syndrome, trauma patients) should first be performed at full expiration, not full inspiration.