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Massive air embolism during off-pump CABG: A case report


Department of Anaesthesia, Apollo Hospital, Jubilee Hills, Hyderabad, India

Correspondence Address:
Swapnil Verma
Department of Anesthesia, CTOT, International Block, First Floor, Apollo Hospital Jubilee Hills, Hyderabad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_190_18

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Year : 2020  |  Volume : 23  |  Issue : 3  |  Page : 354-356

 

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Off-pump coronary artery bypass grafting (OPCAB), although devoid of the morbidity associated with cardiopulmonary bypass (CPB), has its own technical difficulties. Achieving optimum tissue stabilization on a beating heart along with hemodynamic fragility due to extreme positioning also complicates the anesthetic management. In addition, it is difficult to obtain a clear surgical field in the presence of arteriotomy. The use of catheter-directed high-flow gas blower (mister blower) helps achieve a clear surgical field to a great extent. However, there have been reported cases of arterial and pulmonary embolism caused by these high-flow gas blowers. The present case reports a case of massive venous air embolism caused by the use of mister blower.






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Department of Anaesthesia, Apollo Hospital, Jubilee Hills, Hyderabad, India

Correspondence Address:
Swapnil Verma
Department of Anesthesia, CTOT, International Block, First Floor, Apollo Hospital Jubilee Hills, Hyderabad
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_190_18

Rights and Permissions

Off-pump coronary artery bypass grafting (OPCAB), although devoid of the morbidity associated with cardiopulmonary bypass (CPB), has its own technical difficulties. Achieving optimum tissue stabilization on a beating heart along with hemodynamic fragility due to extreme positioning also complicates the anesthetic management. In addition, it is difficult to obtain a clear surgical field in the presence of arteriotomy. The use of catheter-directed high-flow gas blower (mister blower) helps achieve a clear surgical field to a great extent. However, there have been reported cases of arterial and pulmonary embolism caused by these high-flow gas blowers. The present case reports a case of massive venous air embolism caused by the use of mister blower.






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