Open AccessVenous air embolism: A complication during percutaneous nephrolithotomy
Author(s) -
Geeta P Parikh,
Sumedha Sonde,
Prachi Kadam
Publication year - 2014
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.128510
Subject(s) - medicine , percutaneous nephrolithotomy , air embolism , percutaneous , embolism , complication , surgery , intravenous pyelogram , pulmonary embolism , resuscitation , radiology , anesthesia , urinary system
Venous air embolism during percutaneous nephrolithotomy (PCNL) following air pyelogram or saline irrigation has been occasionally reported. We present a case of suspected venous air embolism during air pyelogram in a patient undergoing PCNL. The clinical diagnosis of air embolism was made by fall in end tidal carbon dioxide, blood pressure and Oxygen saturation and was conservatively managed. Early diagnosis with rapid resuscitation is the key to management of a patient with air embolism.