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British Journal of Anaesthesia, 2000, Vol. 85, No. 6 926-927
© 2000 The Board of Management and Trustees of the British Journal of Anaesthesia

Air embolism during anaesthesia for shoulder arthroscopy

R. T. Hegde and R. N. Avatgere

Department of Anaesthesia, Queen’s Hospital, Burton upon Trent DE13 0RB, UK*Corresponding author

We report a case of venous air embolism during an elective shoulder arthroscopy in which air was used as a joint distending agent. Venous air embolism was diagnosed by the sudden decrease in the end-tidal carbon dioxide concentration. The patient suffered no serious complications of venous air embolism and made a full recovery. We present this case to make surgeons and anaesthetists aware of the possibility of gas/air embolism during elective arthroscopy, when gas/air is used to distend the joint. This case also illustrates that the end-tidal carbon dioxide monitor, which is part of the standard anaesthetic monitoring system, is very sensitive in detecting venous air embolism.

Br J Anaesth 2000; 85: 925–7


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