Comparative incidence of venous air embolism and associated hypotension in adults and children operated for neurosurgery in the sitting position

European Journal of Anaesthesiology

Volumn 21, Issue 7, 2004, Pages 517-522

  Bithal, Patmod K ^a   Pandia, M P ^a   Dash, H H ^a   Chouhan, R S ^a   Mohanty, B ^a   Padhy, N ^a  

^a ALL INDIA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Anaesthesia, neurosurgical; Intracranial embolism, air; Monitoring, physiological, intraoperative, monitoring end tidal carbon dioxide; Neurosurgical procedures, craniectomy; Posture, sitting position

Indexed keywords

CARBON DIOXIDE; HALOTHANE; HYPERTENSIVE FACTOR; MEPHENTERMINE; MORPHINE; NITROUS OXIDE; OXYGEN; PANCURONIUM; PETHIDINE; THIOPENTAL;

ADULT; AIR EMBOLISM; ARTERIAL PRESSURE; ARTICLE; CAPNOGRAPHY; CHILD; CRYSTALLOID; DISEASE ASSOCIATION; END TIDAL CARBON DIOXIDE TENSION; FEMALE; HUMAN; HYPOTENSION; INCIDENCE; MAJOR CLINICAL STUDY; MALE; NEUROSURGERY; PATIENT MONITORING; SITTING; VEIN DISEASE;

ADULT; CAPNOGRAPHY; CHILD; CRANIAL FOSSA, POSTERIOR; EMBOLISM, AIR; FEMALE; HUMANS; HYPOTENSION; INTRAOPERATIVE COMPLICATIONS; MALE; NEUROSURGICAL PROCEDURES; POSTURE;

EID: 3343022852     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0265021504007033     Document Type: Article

References (24)

1. Bedal AE, Berge KH, Losasso TJ. Paradoxical air embolism during venous air embolism. Transesophageal echocardiographic evidence of transpulmonary air passage. Anesthesiology 1994; 80: 947-950.
2. Tommasino C, Beretta L, Della'Acqua A, Rizzardi R, Ferrari da Passano C. Use of intracranial Doppler for venous air embolism monitoring in sitting position. Technical Note. Minerva Anestesiol 1992; 58: 1311-1314.
3. Tommasino C, Rizzardi R, Beretta L, Venturino M, Piccoli S. Cerebral ischemia after venous air embolism in the absence of intracardiac defect. J Neurosurg Anesthesiol 1996; 8: 30-34.
4. Schaffranietz L, Gunther L. Neurosurgical operations in sitting position: results of a survey in Germany. Anaesthesist 1997; 46: 91-95.
5. Schaffranietz L, Grothe A, Olthoff D. Use of sitting position in neurosurgery: results of a 1998 survey in Germany. Anaesthesist 2000; 49: 269-274.
6. Elton RJ, Howell RSC. The sitting position in neurosurgical anaesthesia: a survey of British practice in 1991. Br J Anaesth 1994; 73: 247-248.
7. Michenfelder JD, Martin JT, Altenburg BM, Rehder K. Air embolism during neurosurgery. An evaluation of right atrial catheter for diagnosis and treatment. JAMA 1969; 208: 1353-1358.
8. Maroon JC, Edmonds-Seal J, Campbell RL. An ultrasonic method for detecting air embolism. J Neurosurg 1981; 54: 75-78.
9. Gildenberg PL, O'Brien RA, Britt WJ, Frost EAM. The efficacy of Doppler monitoring for the detection of venous air embolism. J Neurosurg 1981; 54: 75-78.
10. Mammoto T, Hayashi Y, Kuro M. Incidence of venous and paradoxical air embolism in neurosurgical patients in the sitting position. Detection by transesophageal echocardiography. Acta Anaesth Scand 1998; 42: 643-647.
11. Iwabuchi T, Sobata E, Ebina K, Tsubakisaka H. Dural sinus pressure: various aspects in human brain surgery in children and adults. Am J Physiol 1986; 250: 389-396.
12. Harrison EA, Mackersie A, McEwan A, Facer E. The sitting position for neurosurgery in children: a review of 16 years' experience. Br J Anaesth 2002; 88: 12-17.
13. Meyer PG, Cuttarree H, Charron B, Jarreau MM, Perie AC, Sainte-Rose C. Prevention of venous air embolism in paediatric neurosurgical procedures performed in sitting position by combined use of MAST suit and PEEP. Br J Anaesth 1994; 73: 795-800.
14. Von Gosseln H, Samii M, Suhr D, Bini W. The lounging position for posterior fossa surgery: anesthesiological considerations regarding air embolism. Child's Nerv Syst 1991; 7: 368-374.
15. Cucchiara RF, Bowers B. Air embolism in children undergoing suboccipital craniotomy. Anesthesiology 1982; 57: 338-339.
16. Matjasko J, Petrozza P, Cohen M, Steinberg P. Anesthesia and surgery in the seated position: analysis of 554 cases. Neurosurgery 1985; 17: 695-702.
17. Adornato DC, Gildenberg PL, Ferrario CM, Smart J, Frost EAM. Pathophysiology of intravenous air embolism in dogs. Anesthesiology 1984; 49: 120-127.
18. Muller H, Brahler A, Gerlach I, Gerlach H, Becker W, Hempelmann G. Diagnostische, und prognostische Bedeutiug haemodynamischer und respiratorischer parameter bei venoser Luftembolie. Anaesthesist 1984; 33: 493-498.
19. Grady MS, Bedford RF, Park TS. Changes in superior sagittal sinus pressure in children with head elevation, jugular venous compression, and PEEP. J Neurosurg 1986; 65: 199-202.
20. Fuchs G, Schwarz G, Stein J, Kaltenbock F, Baumgartner A, Oberbauer RW. Doppler color-flow imaging: screening of a patent foramen ovale in children scheduled for neurosurgery in the sitting position. J Neurosurg Anesthesiol 1998; 10: 5-9.
21. Toung T, Ngeow YK, Long DL. Comparison of the effects of positive end expiratory pressure and jugular venous compression on canine cerebral venous pressure. Anesthesiology 1984; 61: 169-172.
22. Smith DS, Osborn I. Posterior fossa: anesthetic considerations. In: Cottrell JE, Smith DS, eds. Anesthesia and Neurosurgery. New York, USA: Mosby, 2001; 335-351.
23. Gottdiener JS, Papademetrior V, Notargiacomo A. Incidence and cardiac evidence of arterial embolization via non-cardiac shunt. Arch Int Med 1988; 148: 795-800.
24. Perkins NAK, Bedford RF. Hemodynamic consequences of PEEP in seated neurological patients - implications for paradoxical air embolism. Anesth Analg 1984; 63: 429-432.