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British Journal of Anaesthesia, 2003, Vol. 90, No. 4 520-522
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Incidental detection of paradoxical air embolism with a transoesophageal Doppler probe inserted for measuring descending aortic blood flow

J. Draganov and T. W. L. Scheeren

Department of Anaesthesiology, University Hospital of Duesseldorf, Heinrich-Heine-University, Moorenstrasse 5, D-40225 Düsseldorf, Germany

Corresponding author. E-mail: scheeren@med.uni-duesseldorf.de

We present a case of paradoxical air embolism in a patient undergoing neurosurgery of the posterior fossa in the sitting position. Paradoxical air embolism was detected in the descending aorta by a transoesophageal Doppler probe, which was inserted primarily for non-invasive haemodynamic monitoring. The patient suffered no serious complications of paradoxical air embolism and recovered well. We suggest that paradoxical air embolism can be detected intraoperatively not only by transoesophageal echocardiography, but also with a transoesophageal Doppler probe.

Br J Anaesth 2003; 90: 520–2


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