Abstract
Venous air embolism is a potential complication of many surgical, therapeutic, and diagnostic procedures. Aspiration of air via a catheter placed in the superior vena cava or right atrium or placed in the pulmonary outflow tract and pulled through the right heart chambers had been advocated for the treatment of venous air embolism. In this study, three catheter positions were analyzed to determine which was best for removal of gas after induction of massive venous air embolism in dogs. In 18 dogs, 9 of which were suspended by their forelegs to simulate the sitting position used in posterior fossa exploration and 9 of which were supine, a Swan-Ganz catheter was placed in the right atrium, right ventricle, or pulmonary artery. A measured amount of air was injected into the left jugular vein and syringe aspiration of the air was attempted through the catheter. In the group with the catheter in the pulmonary artery, aspiration was continuous while the catheter was withdrawn through the right heart chambers. The amount of air aspirated varied widely among the three catheter positions, and no one catheter position proved superior to the other two.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ASHERSON N. Tracheostomy: sudden death from delayed air embolism. J Laryngol Otol. 1958 Sep;72(9):743–745. doi: 10.1017/s002221510005458x. [DOI] [PubMed] [Google Scholar]
- BURMAN D. Air embolism during pneumoperitoneum treatment. Thorax. 1956 Mar;11(1):49–56. doi: 10.1136/thx.11.1.49. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BUXTON C. L. Death from air embolus; report of a case following tubal insufflation. Am J Obstet Gynecol. 1957 Aug;74(2):430–433. doi: 10.1016/s0002-9378(16)37095-8. [DOI] [PubMed] [Google Scholar]
- DASHER W. A., BLACK J. P. M., WEISS W., BOGEN E. Air embolism complicating pneumoperitoneum; a review. Am Rev Tuberc. 1954 Mar;69(3):396–405. doi: 10.1164/art.1954.69.3.396. [DOI] [PubMed] [Google Scholar]
- DORNETTE W. H., ORTH O. S. Death in the operating room. Curr Res Anesth Analg. 1956 Nov-Dec;35(6):545–569. [PubMed] [Google Scholar]
- ERICSSON J. A., GOTTLIEB J. D., SWEET R. B. CLOSED-CHEST CARDIAC MASSAGE IN THE TREATMENT OF VENOUS AIR EMBOLISM. N Engl J Med. 1964 Jun 18;270:1353–1354. doi: 10.1056/NEJM196406182702507. [DOI] [PubMed] [Google Scholar]
- FORBES K. A., CORDONNIER J. J. Circulatory collapse following combined use of rayopake and air for urethrocystography. J Urol. 1953 Dec;70(6):975–979. doi: 10.1016/S0022-5347(17)68016-9. [DOI] [PubMed] [Google Scholar]
- HEPPNER F. Air embolism eight hours after ventriculography; a case report. Acta radiol. 1952 Oct;38(4):294–298. doi: 10.3109/00016925209177019. [DOI] [PubMed] [Google Scholar]
- HUNTER A. R. Air embolism in the sitting position. Anaesthesia. 1962 Oct;17:467–472. doi: 10.1111/j.1365-2044.1962.tb13502.x. [DOI] [PubMed] [Google Scholar]
- JACOBY J., JONES J. R., ZIEGLER J., CLAASSEN L., GARVIN J. P. Pneumoencephalography and air embolism: simulated anesthetic death. Anesthesiology. 1959 May-Jun;20(3):336–340. doi: 10.1097/00000542-195905000-00013. [DOI] [PubMed] [Google Scholar]
- LANDES R. R., MCLELLAND R., RANSOM D. L. Air embolism following retroperitoneal pneumography: a nation-wide survey. J Urol. 1956 Nov;76(5):664–670. doi: 10.1016/S0022-5347(17)66747-8. [DOI] [PubMed] [Google Scholar]
- LARSON C. P. Venous air embolism; report of four cases; suggested method of treatment. Am J Clin Pathol. 1951 Mar;21(3):247–250. doi: 10.1093/ajcp/21.3.247. [DOI] [PubMed] [Google Scholar]
- LEFKOVITS A. M. Fatal air embolism during presacral insufflation of air. J Urol. 1957 Jan;77(1):112–115. doi: 10.1016/S0022-5347(17)66529-7. [DOI] [PubMed] [Google Scholar]
- MAJOSKA A. V. Air embolism fatalities in criminal abortions. Hawaii Med J. 1956 May-Jun;15(5):451–453. [PubMed] [Google Scholar]
- MARSHALL B. M. AIR EMBOLUS IN NEUROSURGICAL ANAESTHESIA, ITS DIAGNOSIS AND TREATMENT. Can Anaesth Soc J. 1965 May;12:255–261. doi: 10.1007/BF03004140. [DOI] [PubMed] [Google Scholar]
- Michenfelder J. D., Martin J. T., Altenburg B. M., Rehder K. Air embolism during neurosurgery. An evaluation of right-atrial catheters for diagnosis and treatment. JAMA. 1969 May 26;208(8):1353–1358. doi: 10.1001/jama.208.8.1353. [DOI] [PubMed] [Google Scholar]
- Munson E. S., Paul W. L., Perry J. C., De Padua C. B., Rhoton A. L. Early detection of venous air embolism using a Swan-Ganz catheter. Anesthesiology. 1975 Feb;42(2):223–226. doi: 10.1097/00000542-197502000-00021. [DOI] [PubMed] [Google Scholar]
- Ngai S. H., Stinchfield F. E., Triner L. Air embolism during total hip arthroplasties. Anesthesiology. 1974 Apr;40(4):405–407. doi: 10.1097/00000542-197404000-00019. [DOI] [PubMed] [Google Scholar]
- PICKREN J. W., NIGOGOSYAN G., KERR J. H. Air embolism during intravenous infusions. N Y State J Med. 1959 Feb 1;59(3):493–495. [PubMed] [Google Scholar]
- RUESCH M., MIYATAKE S., BALLINGER C. M. Continuing hazard of air embolism during pressure transfusions. J Am Med Assoc. 1960 Apr 2;172:1476–1482. doi: 10.1001/jama.1960.03020140012004. [DOI] [PubMed] [Google Scholar]
- SCHMIDT P. J., KEVY S. V. Air embolism; a hazard during phlebotomy. N Engl J Med. 1958 Feb 27;258(9):424–427. doi: 10.1056/NEJM195802272580904. [DOI] [PubMed] [Google Scholar]
- THOMSON K. F. Air-embolism following antral lavage: a fatal case. J Laryngol Otol. 1955 Dec;69(12):829–832. doi: 10.1017/s0022215100051483. [DOI] [PubMed] [Google Scholar]
- Tateishi H. Prospective study of air embolism. Br J Anaesth. 1972 Dec;44(12):1306–1310. doi: 10.1093/bja/44.12.1306. [DOI] [PubMed] [Google Scholar]
