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Cerebral air embolism complicating transbronchial lung biopsy: A case report

World Journal of Clinical Cases 2021年第32期9卷 9911-9916页

作者： Vladimir Herout Kristian Brat svatopluk richter Ivan Cundrle Jr Department of Respiratory Diseases University Hospital BrnoBrno 62500Czech Republic Department of Respiratory Diseases Faculty of MedicineMasaryk UniversityBrno 62500Czech Republic International Clinical Research Center Brno 60200Czech Republic Department of Radiology and Nuclear Medicine University Hospital BrnoBrno 62500Czech Republic Department of Anesthesiology and Intensive Care St.Anne's University HospitalBrno 60200Czech Republic Department of Anesthesiology and Intensive Care Faculty of MedicineMasaryk UniversityBrno 60200Czech Republic

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.

关键词： Transbronchial lung biopsy Cerebral air embolism Ischemic stroke Bronchoscopy Hyperbaric oxygen therapy Case report

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