Fatal marrow emboli in a pediatric patient having posterior spinal instrumentation for scoliosis repair

Paediatric Anaesthesia

Volumn 16, Issue 1, 2006, Pages 89-91

  Joffe, Denise ^a   Elrefai, Ahmed ^a   Thomas, Michael ^a  

^a CHILDREN'S NATIONAL MEDICAL CENTER   (United States)

Author keywords

Fat and marrow emboli; Scoliosis surgery

Indexed keywords

ADRENALIN; EPHEDRINE; INHALATION ANESTHETIC AGENT; MUSCLE RELAXANT AGENT; NARCOTIC AGENT;

ANAMNESIS; ANESTHESIA; ARTERIAL GAS; ARTICLE; ASYSTOLE; BLOOD PRESSURE REGULATION; BONE MARROW; BONE MARROW EMBOLISM; CASE REPORT; CAUSE OF DEATH; CEREBRAL PALSY; CHILD; CLINICAL FEATURE; CRYSTALLOID; EMBOLISM; ERYTHROCYTE CONCENTRATE; FAT EMBOLISM; FATALITY; GROWTH RETARDATION; HEMATOCRIT; HEMODILUTION; HUMAN; HUMAN TISSUE; HYPOTENSION; INTRAOPERATIVE PERIOD; LUNG EMBOLISM; MALE; METABOLIC ACIDOSIS; PEDIATRIC ANESTHESIA; PEDIATRIC SURGERY; PRIORITY JOURNAL; SCOLIOSIS; SPINE SURGERY; STOMACH FUNDOPLICATION; STOMACH TUBE;

CHILD; EMBOLISM, FAT; FATAL OUTCOME; FEMALE; HUMANS; SCOLIOSIS;

EID: 33645285920     PISSN: 11555645     EISSN: 14609592     Source Type: Journal    
DOI: 10.1111/j.1460-9592.2005.01612.x     Document Type: Article

References (16)

1. Fox HJ Thomas CH Thompson AG. Spinal instrumentation for Duchenne's muscular dystrophy: experience of hypotensive anaesthesia to minimize blood loss J Pediatr Orthop 1997 17 750 753
2. Bagshaw ON Jardine A. Cardiopulmonary complications during anaesthesia and surgery for severe thoracic lordoscoliosis Anaesthesia 1995 50 890 892
3. Ziser A Friedhoff RJ Rose SH. Prone position: visceral hypoperfusion and rhabdomyolysis Anesth Analg 1996 82 412 415
4. Aebli N Krebs J Schwenke D et al. Pressurization of vertebral bodies during vertebroplasty causes cardiovascular complications: an experimental study in sheep Spine 2003 28 1513 1519
5. Takahashi S Kitagawa H Ishii T. Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transesophageal echocardiography J Bone Joint Surg Br 2003 85 90 94
6. Aebli N Krebs J Davis G et al. Fat embolism and acute hypotension during vertebroplasty: an experimental study in sheep Spine 2002 27 460 466
7. Koessler MJ Fabiani R Hamer H et al. The clinical relevance of embolic events detected by transesophageal echocardiography during cemented total hip arthroplasty: a randomized clinical trial Anesth Analg 2001 92 49 55
8. q1 Practice guidelines for perioperative transesophageal echocardiography Anesthesiology 1996 84 986 1006
9. Byrick RJ Kay JC Mullen JB. Capnography is not as sensitive as pulmonary artery pressure monitoring in detecting marrow microembolism. Studies in a canine model Anesth Analg 1989 68 94 100
10. Sutherland RW Winter RJ. Two cases of fatal air embolism in children undergoing scoliosis surgery Acta Anaesthesiol Scand 1997 41 1073 1076
11. Lang SA Duncan PG Dupuis PR. Fatal air embolism in an adolescent with Duchenne muscular dystrophy during Harrington instrumentation Anesth Analg 1989 69 132 134
12. Gittman JE Buchanan TA Fisher BJ et al. Fatal fat embolism after spinal fusion for scoliosis Jama 1983 249 779 781
13. Jin X Weil MH Tang W et al. End-tidal carbon dioxide as a noninvasive indicator of cardiac index during circulatory shock Crit Care Med 2000 28 2415 2419
14. Shibutani K Muraoka M Shirasaki S et al. Do changes in end-tidal PC02 quantitatively reflect changes in cardiac output? Anesth Analg 1994 79 829 833
15. Lafont ND Kostucki WM Marchand PH et al. Embolism detected by transesophageal echocardiography during hip arthroplasty Can J Anaesth 1994 41 850 853
16. Lafont ND Kalonji MK Guillaume C et al. Clinical features and echocardiography of embolism during cemented hip arthroplasty Can J Anaesth 1997 44 112 117