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Air Embolism: A Severe Complication of Hysteroscopic Surgery

Received: 25 May 2022    Accepted: 3 July 2022    Published: 13 July 2022
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Abstract

Air embolism is one of the complications of hysteroscopy. When air enters the circulatory system to block blood vessels, it will lead to embolism, and even endanger the life of patients in serious cases. The prognosis of patients can be significantly improved through the rapid diagnosis and timely treatment of air embolism. Since most air embolism is iatrogenic, operators should not only make preoperative preparations, but also be familiar with the symptoms and signs of air embolism. Once air embolism is suspected, the operator must immediately observe the patient's vital signs and hemodynamics and immediately stop the operation and carry out treatment to prevent further deterioration of the condition when the situation is critical. Based on the clinical cases of air embolism in recent years and relevant research and analysis, this paper summarizes the pathogenesis, clinical manifestations, auxiliary examination, prevention and treatment of air embolism, so as to provide reference for clinical prevention and treatment of air embolism.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 4)
DOI 10.11648/j.jgo.20221004.11
Page(s) 171-175
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hysteroscopy, Air Embolism, Diagnosis, Treatment

References
[1] Leibowitz D, Benshalom N, Kaganov Y, Rott D, Hurwitz A, Hamani Y: The incidence and haemodynamic significance of gas emboli during operative hysteroscopy: a prospective echocardiographic study. Eur J Echocardiogr. 2010; 11: 429–431.
[2] Mirski, M. A.; Lele, A. V.; Fitzsimmons, L.; Toung, T. J. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007, 106, 164–177.
[3] Kapoor, T.; Gutierrez, G. Air embolism as a cause of the systemic inflflammatory response syndrome: A case report. Crit Care. 2003, 7, R98–R100.
[4] Dyrbye BA, Overdijk LE, van Kesteren PJ, et al. Gas embolism during hysteroscopic surgery using bipolar or monopolar diathermia: a randomized controlled trial. Am J Obstet Gynecol. 2012; 207: 271.e1–271.e6.
[5] Vilos GA, Hutson JR, Singh IS, Giannakopoulos F, Rafea BA, Vilos AG. Venous Gas Embolism during Hysteroscopic Endometrial Ablation: Report of 5 Cases and Review of the Literature. J Minim Invasive Gynecol. 2020; 27: 748-754.
[6] Van Dijck C, Rex S, Verguts J, Timmerman D, Van de Velde M, Teunkens A. Venous Air Embolism during Hysteroscopic Myomectomy: An Analysis of 7 Cases. Gynecol Obstet Invest. 2017; 82: 569-574.
[7] Hong B, Lee K H, Yoo H J, et al. Unexpected development of intraoperative paradoxical air embolism uring hysteroscopic myomectomy. J Obstet Gynaecol. 2020; 40: 885-886.
[8] McCarthy CJ, Behravesh S, Naidu SG, Oklu R. Air Embolism: Diagnosis, Clinical Management and Outcomes. Diagnostics (Basel). 2017 Jan 17; 7: 5.
[9] Shah J, Jiwa N, Mamdani N, Hill D. Venous and arterial air embolism: a rare phenomenon with fatal consequences. BMJ Case Rep. 2016 Dec 5.
[10] Nishant AR, Maddali MM. Intraoperative Transesophageal Echocardiography: A Sensitive and Reliable Tool for Detecting Air Embolism in Real Time. J Cardiothorac Vasc Anesth. 2019; 33: 878-880.
[11] Akiyama K, Arisawa S, Ide M, Iwaya M, Naito Y. Intraoperative cardiac assessment with transesophageal echocardiography for decision-making in cardiac anesthesia. Gen Thorac Cardiovasc Surg. 2013; 61: 320-329.
[12] Schäfer ST, Lindemann J, Brendt P, Kaiser G, Peters J. Intracardiac transvenous echocardiography is superior to both precordial Doppler and transesophageal echocardiography techniques for detecting venous air embolism and catheter-guided air aspiration. Anesthesia and Analgesia. 2008; 106: 45-54.
[13] Ji J, Tian Y, Chen L, Li B. Intraoperative venous air embolism in the non-cardiac surgery-the role of perioperative echocardiography in a case series report. Ann Transl Med. 2020; 8: 798.
[14] Pandia MP, Bithal PK, Dash HH, Chaturvedi A. Comparative incidence of cardiovascular changes during venous air embolism as detected by transesophageal echocardiography alone or in combination with end tidal carbon dioxide tension monitoring. J Clin Neurosci. 2011; 18: 1206-1209.
[15] Xuyunqiao, Zhangjuying. Clinical study of echocardiography combined with end-expiratory CO2 partial pressure monitoring to prevent air embolism during hysteroscopy. Chinese Journal of Obstetrics and Gynecology. 2013; 48: 828-833.
[16] Chencaiyang, Wangxiuzhen. Application of multiple bottles of dilatation fluid in the prevention of air embolism in hysteroscopic surgery. Journal of Nursing and Rehabilitation. 2009; 8: 165-166.
[17] Essereau J, Genotelle N, Chabbaut C, et al. Long-term outcome of iatrogenic gas embolism. Intensive Care Med. 2010; 36: 1180-1187.
[18] Luchenglin, Xuguozhen. Feasibility study on the application of uterine pluggers in hysteroscopic manipulation techniques. China Continuing Medical Education. 2018; 10: 77-79.
[19] Heckmann JG, Lang CJ, Kindler K, Huk W, Erbguth FJ, Neundörfer B. Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization. Crit Care Med. 2000; 28: 1621–1625.
[20] Yew KL, Razali F. Massive coronary air embolism successfully treated with intracoronary catheter aspiration and intracoronary adenosine. Int J Cardiol. 2015; 188: 56-57.
[21] Dubar G, Fischler M. Venous air embolism during total laparoscopic hysterectomy. Anesthesiology. 2010; 112: 497-499.
[22] Chau JCW, Leung JKS, Yan WW. Gas embolism and hyperbaric oxygen therapy: a case series. Hong Kong Med J. 2021; 27: 362-365.
[23] Torres Martínez FJ, Kuffler DP. Hyperbaric oxygen treatment to eliminate a large venous air embolism: a case study. Undersea Hyperb Med. 2011; 38: 297-304.
Cite This Article
  • APA Style

    Mengyue Chen, Mengru Zhao, Yun Yang, Huimin Tang, Zhenyue Qin, et al. (2022). Air Embolism: A Severe Complication of Hysteroscopic Surgery. Journal of Gynecology and Obstetrics, 10(4), 171-175. https://doi.org/10.11648/j.jgo.20221004.11

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    ACS Style

    Mengyue Chen; Mengru Zhao; Yun Yang; Huimin Tang; Zhenyue Qin, et al. Air Embolism: A Severe Complication of Hysteroscopic Surgery. J. Gynecol. Obstet. 2022, 10(4), 171-175. doi: 10.11648/j.jgo.20221004.11

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    AMA Style

    Mengyue Chen, Mengru Zhao, Yun Yang, Huimin Tang, Zhenyue Qin, et al. Air Embolism: A Severe Complication of Hysteroscopic Surgery. J Gynecol Obstet. 2022;10(4):171-175. doi: 10.11648/j.jgo.20221004.11

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  • @article{10.11648/j.jgo.20221004.11,
      author = {Mengyue Chen and Mengru Zhao and Yun Yang and Huimin Tang and Zhenyue Qin and Junling Liu and Huihui Wang and Mingyue Bao and Jiming Chen and Bairong Xia},
      title = {Air Embolism: A Severe Complication of Hysteroscopic Surgery},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {4},
      pages = {171-175},
      doi = {10.11648/j.jgo.20221004.11},
      url = {https://doi.org/10.11648/j.jgo.20221004.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221004.11},
      abstract = {Air embolism is one of the complications of hysteroscopy. When air enters the circulatory system to block blood vessels, it will lead to embolism, and even endanger the life of patients in serious cases. The prognosis of patients can be significantly improved through the rapid diagnosis and timely treatment of air embolism. Since most air embolism is iatrogenic, operators should not only make preoperative preparations, but also be familiar with the symptoms and signs of air embolism. Once air embolism is suspected, the operator must immediately observe the patient's vital signs and hemodynamics and immediately stop the operation and carry out treatment to prevent further deterioration of the condition when the situation is critical. Based on the clinical cases of air embolism in recent years and relevant research and analysis, this paper summarizes the pathogenesis, clinical manifestations, auxiliary examination, prevention and treatment of air embolism, so as to provide reference for clinical prevention and treatment of air embolism.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Air Embolism: A Severe Complication of Hysteroscopic Surgery
    AU  - Mengyue Chen
    AU  - Mengru Zhao
    AU  - Yun Yang
    AU  - Huimin Tang
    AU  - Zhenyue Qin
    AU  - Junling Liu
    AU  - Huihui Wang
    AU  - Mingyue Bao
    AU  - Jiming Chen
    AU  - Bairong Xia
    Y1  - 2022/07/13
    PY  - 2022
    N1  - https://doi.org/10.11648/j.jgo.20221004.11
    DO  - 10.11648/j.jgo.20221004.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 171
    EP  - 175
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20221004.11
    AB  - Air embolism is one of the complications of hysteroscopy. When air enters the circulatory system to block blood vessels, it will lead to embolism, and even endanger the life of patients in serious cases. The prognosis of patients can be significantly improved through the rapid diagnosis and timely treatment of air embolism. Since most air embolism is iatrogenic, operators should not only make preoperative preparations, but also be familiar with the symptoms and signs of air embolism. Once air embolism is suspected, the operator must immediately observe the patient's vital signs and hemodynamics and immediately stop the operation and carry out treatment to prevent further deterioration of the condition when the situation is critical. Based on the clinical cases of air embolism in recent years and relevant research and analysis, this paper summarizes the pathogenesis, clinical manifestations, auxiliary examination, prevention and treatment of air embolism, so as to provide reference for clinical prevention and treatment of air embolism.
    VL  - 10
    IS  - 4
    ER  - 

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Author Information
  • Graduate School, Dalian Medical University, Dalian, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Department of Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Department of Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Department of Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, PR China

  • Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, PR China

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