Venous air embolism from central venous catheterization: A need for increased physician awareness

Critical Care Medicine

Volumn 27, Issue 10, 1999, Pages 2113-2117

  Wesley Ely, E ^a,d   Duncan Hite, R ^a   Baker, Albert M ^b   Johnson, Margaret M ^c   Bowton, David L ^a   Haponik, Edward F ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b Lynchburg Pulmonary Associates   (United States)

^c MAYO CLINIC   (United States)

^d VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Air; Catheterization; Central venous; Critical care; Education; Embolism; Medical

Indexed keywords

ADULT; AGED; AIR EMBOLISM; ARTICLE; AWARENESS; BODY POSITION; CASE REPORT; CENTRAL VENOUS CATHETERIZATION; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; NURSE; PHYSICIAN; PRIORITY JOURNAL; RISK ASSESSMENT;

ACADEMIC MEDICAL CENTERS; ADULT; AGED; CATHETERIZATION, CENTRAL VENOUS; CLINICAL COMPETENCE; EDUCATION, MEDICAL, CONTINUING; EMBOLISM, AIR; FATAL OUTCOME; FEMALE; HEAD-DOWN TILT; HUMANS; JUGULAR VEINS; MALE; PHYSICIAN'S PRACTICE PATTERNS; RISK FACTORS; SUBCLAVIAN VEIN;

EID: 0032748983     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199910000-00006     Document Type: Article

References (29)

1. 1. Maki DG, Stolz SM, Wheeler S, et al: Prevention of central venous catheter-related bloodstream infection by use of an antiseptic-impregnated catheter: A randomized, controlled trial. Ann Intern Med 1997; 127: 257-266
2. 2. Casado-Flores J, Valdivielso-Serna A, Perez-Jurado L, et al: Subclavian vein catheterization in critically ill children: Analysis of 322 cannulations. Intensive Care Med 1992; 17: 350-354
3. 3. Hoff BH, Hawke M, Fletcher S, et al: The spectrum of thromboembolization in the central circulation. J Clin Anesth 1993; 5:505-509
4. 4. Kaye CG, Smith DR: Complications of central venous cannulation: Trauma, infection, and thrombosis. Br Med J 1988; 297:572-573
5. 5. Mansfield PF, Hohn DC, Fornage BD, et al: Complications and failures of subclavian-vein catheterization. N Engl J Med 1994; 331:1735-1738
6. 6. Pearson ML, Abrutyn E: Reducing the risk for catheter-related infections: A new strategy. Ann Intern Med 1997; 127:304-306
7. 7. Theriault RL, Buzdar AU: Acute superior vena caval thrombosis after central venous catheter removal: Successful treatment with thrombolytic therapy. Med Pediatr Oncol 1990; 18:77-80
8. 8. McCarthy PM, Wang N, Birchfield F, et al: Air embolism in single-lung transplant patients after central venous catheter removal. Chest 1995; 107:1178-1179
9. 9. Mennim P, Coyle CF, Taylor JD: Venous air embolism associated with removal of central venous catheter. BMJ 1992; 305:171-172
10. 10. Moorthy SS, Tisinai KA, Speiser BS, et al: Cerebral air embolism during removal of a pulmonary artery catheter. Crit Care Med 1991; 19:981-983
11. 11. Peters JL: Removal of central venous catheter and venous air embolism. BMJ 1992; 305: 524-525
12. 12. Turnage WS, Harper JV: Venous air embolism occurring after removal of a central venous catheter. Anesth Analg 1991; 72:559-560
13. 13. Orebaugh SL: Venous air embolism: Clinical and experimental considerations. Crit Care Med 1992; 20:1169-1177
14. 14. Swartz MA, Munz M, Stern MB: Respiratory failure following stereotactic neurosurgery in a 53-year-old woman. Chest 1997; 111: 1112-1114
15. 15. Halliday P, Anderson DN, Davidson AI, et al: Management of cerebral air embolism secondary to a disconnected central venous catheter. Br J Surg 1994; 81:71
16. 16. Hartung EJ, Ender J, Sgouropoulou S, et al: Severe air embolism caused by a pulmonary artery introducer sheath. Anesthesiology 1994; 80:1402-1403
17. 17. Lee JD, Roy TM: Venous air embolism and the central venous catheter. J Tenn Med Assoc 1995; 88:51-53
18. 18. Papadopoulos G, Kuhly P, Brock M, et al: Venous and paradoxical air embolism in the sitting position: A prospective study with transoesophageal echocardiography. Acta Neurochir 1994; 126:140-143
19. 19. Sing RFSTJ, Steffe TJ, Branas CC: Fatal venous air embolism after removal of a central venous catheter. J Am Osteopath Assoc 1995; 95:204-205
20. 20. Waggoner SE: Venous air embolism through a Groshong catheter. Gynecol Oncol 1993; 48:394-396
21. 21. Yu AS, Levy E: Paradoxical cerebral air embolism from a hemodialysis catheter. Am J Kidney Dis 1997; 29:453-455
22. 22. Guidelines/Practice Parameters Committee: Guidelines for resident physician training in critical care medicine. Crit Care Med 1995; 23:1920-1923
23. 23. Royal College of Physicians and Surgeons of Canada: Educational objectives for critical care training in Canada. Crit Care Med 1987; 15:979-982
24. 24. Vincent JL, Baltopoulos G, Bihari D, et al: Guidelines for training in intensive care medicine. Intensive Care Med 1994; 20: 80-81
25. 25. Ward R, Jones D, Haponik EF: Paradoxical embolism: An underrecognized problem. Chest 1995; 108:549-558
26. 26. Ende J: Feedback in clinical medical education. JAMA 1983; 250:777-781
27. 27. Mattern WD, Weinholtz D, Friedman CP: The attending physician as teacher. N Engl J Med 1983; 308:1129-1132
28. 28. Holloran SD, Starkey GW, Burke PA, et al: An educational intervention in the surgical intensive care unit to improve ethical decisions. Surgery 1995; 118:294-299
29. 29. Rogers PL, Grenvik A, Willenkin RL: Teaching medical students complex cognitive skills in the intensive care unit. Crit Care Med 1995; 23:575-581