Korean J Anesthesiol Search

CLOSE


Korean J Anesthesiol > Volume 57(5); 2009 > Article
Korean Journal of Anesthesiology 2009;57(5):673-677.
DOI: https://doi.org/10.4097/kjae.2009.57.5.673   
Cerebral air embolism after removal of internal jugular venous catheter: A case report.
Soo Bong Yu, Sie Jeong Ryu, Sang Ho Yoon, Hyo Suk Kang, Doo Sik Kim
Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine, Busan, Korea. siejeong@ns.kosinmed.or.kr
Abstract
Air embolism can occur during central venous catheter removal. We encountered a patient diagnosed with cerebral air embolism associated with the removal of an internal jugular venous catheter. The patient was 65 years old and was admitted to the intensive care unit due to pneumonia. He had a catheter placed in the right internal jugular vein. Five days thereafter, the catheter was removed in semi-Fowler's position using the Valsalva maneuver. Immediately after the catheter removal, the patient became pale, felt dyspneic, lost consciousness and exhibited seizure activity. A neurological examination, revealed left upper arm (grade I) and lower leg paralysis (grade II) as well as left facial palsy. A brain computed tomogram showed that, air was trapped in the cavernous sinus. In diffusion weighted magnetic resonance imaging, signal changes were reported in the right frontal cortex, indicating acute cerebral infarction. Hyperbaric oxygen therapy and ventilatory support with synchronized intermittent mandatory ventilation mode was applied. Twenty days thereafter, consciousness and motor functions were recovered completely except for mild weakness of the upper arm (grade IV).
Key Words: Catheter removal; Cerebral embolism; Internal jugular vein
TOOLS
Share :
Facebook Twitter Linked In Line it
METRICS Graph View
  • 2 Crossref
  •   Scopus
  • 1,681 View
  • 51 Download


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2023 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next