Catastrophic venous air embolus during prostatectomy in the Trendelenburg position
نویسندگان
چکیده
منابع مشابه
A unique case of venous air embolus with survival
Venous air embolus (VAE) occurs when gas, specifically atmospheric air, enters into the vascular system. Although rare, they can be fatal due to risk of cardiovascular collapse. In this report, we present a unique case of a 66-year-old female trauma patient with an inferior vena cava air embolism. An overview of the potential cause is presented, along with a review of the management of VAE.
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BACKGROUND Robot-assisted laparoscopic radical prostatectomy (RALP) is a minimally invasive surgical procedure for prostate cancer. During RALP, the patient must be in a steep Trendelenburg (head-down) position, which leads to a significant increase in intraocular pressure (IOP). The association of RALP with visual field sensitivity, however, has not been prospectively studied. The purpose of t...
متن کاملEffects of steep Trendelenburg position and pneumoperitoneum on middleear pressure in patients undergoing robotic radical prostatectomy.
BACKGROUND/AIM The aim of this study was to quantify the changes in middle ear pressure (MEP) during robot-assisted radical prostatectomy (RARP). MATERIALS AND METHODS Thirty patients undergoing RARP were included in this study. MEP was obtained at the following time points: awake (T1), postintubation (T2), pneumoperitoneum + 1 h of Trendelenburg position (T3), pneumoperitoneum + 2 h of Trend...
متن کاملInfluence of steep Trendelenburg position and CO(2) pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy.
BACKGROUND The steep (40 degrees ) Trendelenburg position optimizes surgical exposure during robotic prostatectomy. The goal of the current study was to investigate the combined effect of this position and CO(2) pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during these procedures. METHODS Physiological data were recorded during the whole surgical procedure ...
متن کاملMask Phenomenon Following Robot-assisted Prostatectomy: A Rare Complication due to Trendelenburg Position
Injuries caused by position during the perioperative period are one of the risk factors for anesthesia and surgery. However, the Trendelenburg position, which is especially used in robot-assisted urological surgeries, might cause unknown morbidities [1]. Trendelenburg position and pneumoperitoneum together with facial and upper respiratory tract edema might cause venous stasis in the head and n...
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ژورنال
عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 2003
ISSN: 0832-610X,1496-8975
DOI: 10.1007/bf03018389