Embolia gasosa em neurocirurgia

Lopes, Pedro Garcia; Rogério, Juvenal de Souza; Ricciardi-Cruz, Oswaldo

doi:10.1590/S0004-282X1970000400008

Resumos

São relatados três casos em que ocorreram embolias gasosas e êxito letal em pacientes submetidos à intervenções neurocirúrgicas em posição sentada. As medidas preventivas e os métodos de diagnóstico e tratamento são comentados.

Three fatal cases of air embolism in which the patients were operated in the sitting position are reported. Preventive care, methods for diagnostical purposes and tretment resources are discussed.

Embolia gasosa em neurocirurgia

Air embolism in neurosurgery: report of three fatal cases

Pedro Garcia Lopes^I; Juvenal de Souza Rogério^I; Oswaldo Ricciardi-Cruz^II

^IClínica Neurológica, Departamento de Neuro-Psiquiatria, Faculdade de Medicina da Universidade de São Paulo. Médico estagiário

^IIClínica Neurológica, Departamento de Neuro-Psiquiatria, Faculdade de Medicina da Universidade de São Paulo. Docente

RESUMO

São relatados três casos em que ocorreram embolias gasosas e êxito letal em pacientes submetidos à intervenções neurocirúrgicas em posição sentada. As medidas preventivas e os métodos de diagnóstico e tratamento são comentados.

SUMMARY

Three fatal cases of air embolism in which the patients were operated in the sitting position are reported. Preventive care, methods for diagnostical purposes and tretment resources are discussed.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Clínica Neurológica Faculdade de Medicina, Universidade de São Paulo Caixa Postal 3461 - São Paulo, SP Brasil.

1. EMERY, E. R. J. Air embolism: a report of two cases, one treated sucessfully. Anaesthesia 17: 455 1962.
2. ERICSON, J. A.; GOTTLIEH, J. D. & SWETT, R. B. Closed chest massage in the treatment of venous air. New Eng. J. Med. 270:1353, 1964.
3. HAMBY, W. B. & TERRY, R. N. Air embolism in operations done in the sitting position. A report of five fatal cases and one of rescue by a simple manoeuvre. Surgery 31:212, 1952.
4. HEWER, A. J. H. & LOGUE, V. Methods of increasing the safety of neuroanesthesia in the sitting position. Anaesthesia 17:476, 1962.
5. HUNTER, A. R. Air embolism in the sitting position. Anaesthesia 17:467, 1962.
6. MAROON, J. G.; GOODMAN, J. M.; HORNER, T. G. & CAMPBELL, R. L. Detection of minute venous air emboli with ultrasound. Surgery Gynec. Obstet. 127:1236, 1968.
7. MAROON, J. G.; EDMONDS-SEAL, J. & CAMPBELL, R. L. An ultrasonic method for detecting air embolism. J. Neurosurg. 31:196, 1969.
8. MARX, G. F.; STEEN, S. N.; FOSTER, E. S.; JADWAT, C. M. & KEPES, E. R. Air embolism during neurosurgery. N.Y.St.J. Med. 68:2801, 1968.
9. MICHENFELDER, J. D.; TERRY Jr., H. R.; DAW, E. F. & MILLER, R. H. Air embolism during neurosurgery: a new method of treatment. Anesth. Analg. 45:390, 1966.
10. MICHENFELDER, J. D.; GROVERT, G. A. & REHDER, K. Neuroanesthesia. Anesthesiol. 30:65, 1969.
11. MUNSON, E. S. & MERRICK, H. C. Effect of nitrous oxide on venous air embolism. Anesthesiol. 27:783, 1966.
12. TISOVEC, L. & HAMILTON, W. K . New considerations in air embolism during operation. J. Am. med. Ass. 201:376, 1967.

Datas de Publicação

Publicação nesta coleção
22 Abr 2013
Data do Fascículo
Dez 1970

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. EMERY, E. R. J. Air embolism: a report of two cases, one treated sucessfully. Anaesthesia 17: 455 1962.

[2] 2. ERICSON, J. A.; GOTTLIEH, J. D. & SWETT, R. B. Closed chest massage in the treatment of venous air. New Eng. J. Med. 270:1353, 1964.

[3] 3. HAMBY, W. B. & TERRY, R. N. Air embolism in operations done in the sitting position. A report of five fatal cases and one of rescue by a simple manoeuvre. Surgery 31:212, 1952.

[4] 4. HEWER, A. J. H. & LOGUE, V. Methods of increasing the safety of neuroanesthesia in the sitting position. Anaesthesia 17:476, 1962.

[5] 5. HUNTER, A. R. Air embolism in the sitting position. Anaesthesia 17:467, 1962.

[6] 6. MAROON, J. G.; GOODMAN, J. M.; HORNER, T. G. & CAMPBELL, R. L. Detection of minute venous air emboli with ultrasound. Surgery Gynec. Obstet. 127:1236, 1968.

[7] 7. MAROON, J. G.; EDMONDS-SEAL, J. & CAMPBELL, R. L. An ultrasonic method for detecting air embolism. J. Neurosurg. 31:196, 1969.

[8] 8. MARX, G. F.; STEEN, S. N.; FOSTER, E. S.; JADWAT, C. M. & KEPES, E. R. Air embolism during neurosurgery. N.Y.St.J. Med. 68:2801, 1968.

[9] 9. MICHENFELDER, J. D.; TERRY Jr., H. R.; DAW, E. F. & MILLER, R. H. Air embolism during neurosurgery: a new method of treatment. Anesth. Analg. 45:390, 1966.

[10] 10. MICHENFELDER, J. D.; GROVERT, G. A. & REHDER, K. Neuroanesthesia. Anesthesiol. 30:65, 1969.

[11] 11. MUNSON, E. S. & MERRICK, H. C. Effect of nitrous oxide on venous air embolism. Anesthesiol. 27:783, 1966.

[12] 12. TISOVEC, L. & HAMILTON, W. K . New considerations in air embolism during operation. J. Am. med. Ass. 201:376, 1967.