Cerebral air embolism complicating transbronchial lung biopsy: A case report
作者机构：Department of Respiratory DiseasesUniversity Hospital BrnoBrno 62500Czech Republic Department of Respiratory DiseasesFaculty of MedicineMasaryk UniversityBrno 62500Czech Republic International Clinical Research CenterBrno 60200Czech Republic Department of Radiology and Nuclear MedicineUniversity Hospital BrnoBrno 62500Czech Republic Department of Anesthesiology and Intensive CareSt.Anne's University HospitalBrno 60200Czech Republic Department of Anesthesiology and Intensive CareFaculty of MedicineMasaryk UniversityBrno 60200Czech Republic
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第32期
页 面：9911-9916页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：by The publication has been supported by Ministry of Health of the Czech Republic,No.MH CZ-DRO FNBr 65269705 The Czech Pneumological and Phthisiological Society(open access publication fee grant)
主 题：Transbronchial lung biopsy Cerebral air embolism Ischemic stroke Bronchoscopy Hyperbaric oxygen therapy Case report
摘 要：BACKGROUND In this case report we describe an extremely rare case of cerebral air embolism following transbronchial lung biopsy(TBLB).Only a few cases of this rare complication were described *** bronchologist should recognize this severe adverse *** recognition of this complication is mandatory in order to initiate supportive measures and consider hyperbaric oxygen *** SUMMARY In this case report we describe an extremely rare case of cerebral air embolism following *** a few cases of this rare complication were described *** patient had an incidental finding of lung tumour and pulmonary *** air embolism developed during bronchoscopy procedure,immediately after the third trans-bronchial lung biopsy sample and caused cerebral ischaemia of the right hemisphere and severe left-sided *** timely initiation of hyperbaric oxygen therapy hemiplegia didn´t resolve and the patient died several weeks *** air embolism is an extremely rare complication of *** condition should be considered in case the patient remains unresponsive or presents with acute neurological symptoms in the postintervention period since early recognition,diagnosis and hyperbaric oxygen therapy initiation are key factors determining the patient´s *** Within this report,we conclude that air/gas embolism is an extremely rare complication after TBLB,which should be considered in case the patient remains unresponsive or presents with acute neurological symptoms in the postintervention period after *** current gold standard for diagnosis is computed tomography scan of the *** recognition of this complication we suggest immediate hyperbaric oxygen therapy,if available.
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