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British Journal of Anaesthesia, 1979, Vol. 51, No. 5 461-464
© 1979 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

SYSTEMIC AIR EMBOLISM FOLLOWING INDUCTION OF ARTIFICIAL PNEUMOTHORAX UNDER ANAESTHESIA, WITH SUCCESSFUL MANAGEMENT

S. N. KHALIL, M.D., V. MADAN, M.D., B. M. RIGOR, M.D., W. S. FIELDS, M.D. and K. M. UNGER, M.D.

Department of Anesthesiology U.S.A.
Department of Neurology U.S.A.
Department of Medicine. Division of Pulmonary Diseases. The University of Texas Medical School at Houston Houston, Texas 77030, U.S.A.

Systemic air embolism occurred in a patient during general anaesthesia, with positive pressure ventilation, following induction of artificial pneumothorax to assist in the diagnosis of a mediastinal mass. A sudden change in vital signs together with neurological abnormalities suggested involvement of both coronary and cerebral arteries. A trace of blood was noticed in the syringe which the surgeon had used to create the artificial pneumothorax. The patient was treated with hyperbaric oxygen and recovered satisfactorily, despite a 10-h interval between the air embolus and the institution of definitive therapy.

* Present address: Department of Anesthesiology, The University of Texas Health Science Center at Houston, Medical School, P.O. Box 20708, Houston, Texas 77025, U.S.A.


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