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Images in Intensive Care Medicine
Gas embolism by central venous catheter
Embolia gaseosa por catéter venoso central
R. Cantó Pérez
Corresponding author
raquelcanto3@gmail.com

Corresponding author.
, M.L. Navarrete Rebollo, P.J. Fernández Arroyo
Servicio de Medicina Intensiva, Hospital Comarcal Marina Baixa, Villajoyosa, Alicante, Spain
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    "titulo" => "Gas embolism by central venous catheter"
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        "titulo" => "Embolia gaseosa por cat&#233;ter venoso central"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 24-year-old male with a history of Crohn&#39;s disease was admitted due to pain in the right iliac fossa &#40;RIF&#41;&#46; The abdominal CAT scan revealed ileal perforation&#46; Emergency right hemicolectomy and ileal resection were performed&#46; On postoperative day 7&#44; following withdrawal of the right subclavian central venous catheter &#40;CVC&#41;&#44; the patient suffered sudden onset dyspnea and right subcostal pain&#44; desaturation and intense perspiration&#44; with recovery following oxygen therapy&#46; A few hours later&#44; while walking&#44; he experienced dizziness&#44; sudden dyspnea with desaturation &#40;to 50&#37;&#41; and tachypnea&#44; Glasgow coma score&#58; 6 &#40;E&#58; 4&#44; M&#58; 1 and V&#58; 1&#41;&#44; stiffness of the extremities and right conjugate deviation of the eyes&#46; Pulmonary CAT angiography revealed subcutaneous emphysema at right infraclavicular level &#40;purple arrow&#41;&#44; with air in the zone of the right subclavian vein&#44; consistent with gas embolism &#40;white arrow&#41;&#46; No air was observed in the cardiac cavities or main pulmonary arteries &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The chest X-rays showed a radiolucent zone at right infraclavicular level &#40;blue arrow&#41; in the location of the right subclavian CVC &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; The subsequent course proved favorable&#44; with recovery of consciousness&#46; Oxygen therapy with VMK reservoir was maintained&#44; with the patient in the Trendelenburg position&#44; and discharge to the ward took place after 48<span class="elsevierStyleHsp" style=""></span>h of ICU stay&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
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Article information
ISSN: 21735727
Original language: English
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