A A Case Rep 2017 May 12. Epub 2017 May 12.
From the Departments of *Anesthesia and Intensive Care, †Gynecology and Obstetrics, and ‡Cardiology, Nordland Hospital, Bodø, Norway; and §Institute of Clinical Medicine, University of Tromsø, Nord University, Bodø, and University of Oslo, Norway.
During a period of 1 month, 3 episodes of probable or actual venous air embolism occurred during hysteroscopic surgery. All patients developed the same symptoms of ventilatory and hemodynamic decompensation, beginning with a reduction in end-tidal carbon dioxide, arterial desaturation, and cyanosis on the upper trunk, and rapidly progressed to hypotension and 2 cardiac arrests. While entrainment of some air is common during hysteroscopy, life-threatening embolism is a rare but serious complication for which an anesthetist needs to be vigilant and prepared. Read More