Venous air embolism in sitting and supine patients undergoing vestibular schwannoma resection

Neurosurgery

Volumn 42, Issue 6, 1998, Pages 1282-1287

  Duke, Derek A ^a,b   Lynch, James J ^a   Harner, Stephen G ^a   Faust, Ronald J ^a   Ebersold, Michael J ^a  

^a MAYO CLINIC   (United States)

^b ST MARY S HOSPITAL   (United States)

Author keywords

Sitting position; Supine position; Venous air embolism; Vestibular schwannoma

Indexed keywords

ACOUSTIC NEURINOMA; ADULT; AIR EMBOLISM; ARTICLE; BLEEDING; FEMALE; HUMAN; HYPOTENSION; LUNG EDEMA; MAJOR CLINICAL STUDY; MALE; NEUROSURGERY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SITTING; SUPINE POSITION;

CEREBRAL VEINS; EAR NEOPLASMS; EMBOLISM, AIR; FEMALE; HUMANS; INCIDENCE; INTRAOPERATIVE COMPLICATIONS; MALE; MIDDLE AGED; NEURILEMMOMA; POSTURE; RETROSPECTIVE STUDIES; SUPINE POSITION; VESTIBULAR DISEASES;

EID: 0031750161     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1097/00006123-199806000-00047     Document Type: Article

References (24)

1. Albin MS: The paradox of paradoxic air embolism-PEEP, Valsalva, and patent foramen ovale: Should the sitting position be abandoned? Anesthesiology 61:222-223, 1984 (letter).
2. Albin MS, Babinski M, Maroon JC, Jannetta PJ: Anesthetic management of posterior fossa surgery in the sitting position. Acta Anaesthesiol Scand 20:117-128, 1976.
3. Albin MS, Carroll RG, Maroon JC: Clinical considerations concerning detection of venous air embolism. Neurosurgery 3:380-384, 1978.
4. Black S, Muzzi DA, Nishimura RA, Cucchiara RF: Preoperative and intraoperative echocardiography to detect right-to-left shunt in patients undergoing neurosurgical procedures in the sitting position. Anesthesiology 72:436-438, 1990.
5. Black S, Ockert DB, Oliver WC Jr, Cucchiara RF: Outcome following posterior fossa craniectomy in patients in the sitting or horizontal positions. Anesthesiology 69:49-56, 1988.
6. Clayton DG, Evans P, Williams C, Thurlow AC: Paradoxical air embolism during neurosurgery. Anaesthesia 40:981-989, 1985.
7. Cucchiara RF: Safety of the sitting position. Anesthesiology 61: 790, 1984 (letter).
8. Cucchiara RF, Nishimura RA, Black S: Failure of preoperative echo testing to prevent paradoxical air embolism: Report of two cases. Anesthesiology 71:604-607, 1989.
9. Cucchiara RF, Seward JB, Nishimura RA, Nugent M, Faust RJ: Identification of patent foramen ovale during sitting position craniotomy by transesophageal echocardiography with positive airway pressure. Anesthesiology 63:107-109, 1985.
10. Dash HH, Bithal PK, Joshi S, Saini SS: Airway pressure monitoring as an aid in the diagnosis of air embolism. J Neurosurg Anesthesiol 5:159-163, 1993.
11. Fischler M, Vourc'h G, Dubourg O, Bourdarias JP: Patent foramen ovale and sitting position. Anesthesiology 60:83, 1984 (letter).
12. Furuya H, Suzuki T, Okumura F, Kishi Y, Uefuji T: Detection of air embolism by transesophageal echocardiography. Anesthesiology 58:124-129, 1983.
13. 2 monitoring for detection of venous air embolism. Anesthesiology 64:541-545, 1986.
14. Hagen FT, Scholz DG, Edwards WD: Incidence and size of patent foramen ovale during the first 10 decades of life: An autopsy study of 965 normal hearts. Mayo Clin Proc 59:17-20, 1984.
15. Konstadt SN, Louie EK, Black S, Rao TL, Scanlon P: Intraoperative detection of patent foramen ovale by transesophageal echocardiography. Anesthesiology 74:212-216, 1991.
16. Marquez J, Sladen A, Gendell H, Boehnke M, Mendelow H: Paradoxical cerebral air embolism without an intracardiac septal defect: Case report. J Neurosurg 55:997-1000, 1981.
17. Matjasko J, Petrozza P, Cohen M, Steinberg P: Anesthesia and surgery in the seated position: Analysis of 554 cases. Neurosurgery 17:695-702, 1985.
18. Michenfelder JD, Martin JT, Altenburg BM, Rehder K: Air embolism during neurosurgery: An evaluation of right-atrial catheters for diagnosis and treatment. JAMA 208:1353-1358, 1969.
19. Papadopoulos G, Kuhly P, Brock M, Rudolph KH, Link J, Eyrich K: Venous and paradoxical air embolism in the sitting position: A prospective study with transesophageal echocardiography. Acta Neurochir (Wien) 126:140-143, 1994.
20. Schwarz G, Fuchs G, Weihs W, Tritthart H, Schalk HV, Kaltenbock F. Sitting position for neurosurgery: Experience with preoperative contrast echocardiography in 301 patients. J Neurosurg Anesthesiol 6:83-88, 1994.
21. Sharma K, Tripathi M: [Detection of site of air entry in venous air embolism: Role of Valsalva maneuver. J Neurosurg Anesthesiol 6:209-211, 1994.
22. Standefer M, Bay JW, Trusso R: The sitting position in neurosurgery: A retrospective analysis of 488 cases. Neurosurgery 14:649-658, 1984.
23. Wasnick JD, Vassallo SA, Hoffman WJ, Russell TK, Eichenholz PW: Venous air embolism and cervical microdiscectomy. Anesth Analg 81:1287-1288, 1995.
24. Young ML, Smith DS, Murtagh F, Vasquez A, Levitt J: Comparison of surgical and anesthetic complications in neurosurgical patients experiencing venous air embolism in the sitting position. Neurosurgery 18:157-161, 1986.