Table 1. Demographics and procedural specifics identified in case reports of systemic arterial gas embolism occurring during bronchoscopic biopsy procedures.
Demographics | All patients (n=29) |
---|---|
Age | 65±15 |
Gender* | |
Male | 17 (65%) |
Female | 9 (35%) |
Prior history of lung disease | |
Obstructive | 8 (28%) |
Restrictive | 3 (10%) |
History of lung resection | 3 (10%) |
Procedure | |
Types of biopsy performed | |
Transbronchial forceps biopsy | 16 (55%) |
Transbronchial needle aspiration | 11 (38%) |
Endobronchial forceps biopsy | 2 (7%) |
Bronchial curettage | 2 (7%) |
No biopsy performed∆ | 1 (3%) |
Type of sedationΦ | |
Topical analgesia only | 4 (21%) |
Moderate sedation | 12 (63%) |
General anesthesia | 3 (16%) |
Type of ventilationΨ | |
Spontaneous, negative pressure | 23 (88%) |
Positive pressure | 3 (12%) |
Coughing at time of biopsy | 8 (28%) |
Moderate to severe bleeding | 6 (21%) |
Continuous measures reported as mean ± standard deviation; categorical measures reported as number (percentage). *, reported in 26/29 cases; ∆, gas embolism occurred after oxygen insufflation prior to planned biopsy. Φ, reported in 19/29 cases; Ψ, reported in 26/29 cases.