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Paradoxical venous air embolism detected with point-of-care ultrasound: a case report.


ABSTRACT: Venous air embolism (VAE) is an uncommon event consistent in the entrainment of air from any communication between the environment and the venous vasculature that could occur during central venous catheter (CVC) manipulation, and might trigger circulatory shock within minutes depending on the amount of air embolized. We present a case of a critical care patient who presented sudden clinical hemodynamic deterioration after the removal of central venous catheter. Hemodynamic evaluation with point-of-care ultrasound (POCUS) showed bubbles in both right and left heart cavities wherewith air embolism facilitated by heart septal defect was suspected. Therefore, the patient was reintubated, supported with vasopressors and a new CVC was inserted to proceed with air aspiration. Shortly after, the p

SUBMITTER: Ruiz Avila HA 

PROVIDER: S-EPMC9116074 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature