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Veno-arterial extracorporeal membrane oxygenation for the treatment of obstructive shock caused by venous air embolism:A case report

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World Journal of Clinical Cases 2024年第19期12卷 4016-4021页

作者： Gui-Wei Zhu Yan-Min Li Wen-Hui Yue Jian-Xia Sun Xin Zhou Ying-Xia Xu Hai-Bo Wang Qing-Hai Zhang Department of Critical Care Medicine The First Affiliated Hospital of Shandong Second Medical UniversityWeifang 261000Shandong ProvinceChina Office of Medical Affairs The First Affiliated Hospital of Shandong Second Medical UniversityWeifang 261042Shandong ProvinceChina Department of Hand&Foot Orthopedic Surgery The First Affiliated Hospital of Shandong Second Medical UniversityWeifang 261000Shandong ProvinceChina

BACKGROUND Venous air embolism(VAE)is a potentially lethal condition,with a reported incidence rate of about 0.13%,and the true incidence may be higher since many VAE are *** current treatments for VAE include Durant's maneuver,aspiration and removal of air through venous catheters,and hyperbaric oxygen *** critically ill patients,use of cardiotonic drugs and chest compressions remain useful *** wider availability of extracorporeal membrane oxygenation(ECMO)has brought a new option for VAE *** SUMMARY A 53-year-old female patient with VAE presented to the emergency clinic due to abdominal pain with fever for 1 d and unconsciousness for 2 *** day ago,the patient suffered from abdominal pain,fever,and *** suddenly became unconscious after going to the toilet during the intravenous infusion of ciprofloxacin 2 h ago,accompanied by nausea and vomiting,during which a small amount of gastric contents were *** was immediately sent to a local hospital,where cranial and chest computed tomography showed bilateral pneumonia as well as accumulated air visible in the right ventricle and pulmonary *** condition deteriorated despite endotracheal intubation,rehydration,and other treatments,and the patient was then transferred to our ***-arterial ECMO was applied in our hospital,and the patient's condition gradually *** patient was successfully weaned from ECMO and extubated after two *** ECMO may be an important treatment for patients with VAE in critical condition.

关键词： Venous air embolism obstructive shock Veno-arterial extracorporeal membrane oxygenation Critical Case report

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